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Management of Subglottic Stenosis and Subglottic Stenosis in Systemic Disease

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Principles and Practice of Interventional Pulmonology

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Abstract

Subglottic stenosis (SGS) remains a difficult therapeutic problem for the interventional pulmonologist. It may be classified as congenital or acquired. Acquired causes frequently result from iatrogenic injuries. Further etiologies include tumors, infections, and rare diseases such as Wegener’s granulomatosis, relapsing polychondritis, and amyloidosis. Bronchoscopy is the primary procedure for the diagnostic and pre-interventional evaluation of these patients. Laser resection, dilatation, local adjuvant drugs, and airway stents have been used individually or in combination to manage SGS. Endoscopic treatment has a high success rate in simple low-grade stenoses and constitutes a valid option for patients that are unsuitable candidates for surgery. Complex stenoses often require a multidisciplinary approach. There is no universally accepted treatment strategy that consistently relieves symptoms and avoids recurrence in all patients. Management must be individualized according to pathological findings and the patient’s health status. Current minimally invasive techniques performed wisely and proficiently allow the interventional pulmonologist to overcome most problems related to SGS.

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Authors and Affiliations

  1. Interventional Pulmonology Unit, Hospital Beatriz Angelo, Loures, Portugal and Pulmonology Department, Chronic Diseases Research Center, Faculty of Medical Sciences, Lisbon, Hospital Beatriz Angelo and Universidade Nova de Lisboa, Campo dos Martires da Patria, 130, Lisbon, Portugal

    António Bugalho M.D.

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  1. António Bugalho M.D.
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Correspondence to António Bugalho M.D. .

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Editors and Affiliations

  1. Pulmonary, Critical Care,, and Sleep Medicine, St. Elizabeth's Medical Center, 1 Deaconess Rd. CC 540, Boston, 02215, Massachusetts, USA

    Armin Ernst

  2. Department of Pneumology and, University of Heidelberg, 5 Amalienstr., Heidelberg, 69126, Germany

    Felix JF Herth

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Bugalho, A. (2013). Management of Subglottic Stenosis and Subglottic Stenosis in Systemic Disease. In: Ernst, A., Herth, F. (eds) Principles and Practice of Interventional Pulmonology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4292-9_40

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  • DOI: https://doi.org/10.1007/978-1-4614-4292-9_40

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-4291-2

  • Online ISBN: 978-1-4614-4292-9

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