Summary
Tuberculous tracheobronchial stricture is a rare disease entity at the present time. We report our experiences with carbon dioxide laser treatment for four patients with tuberculous strictures that were resistant to conventional management. All patients were relatively young but were debilitated by the disease. The lesions differed from other forms of benign tracheal strictures as they tended to involve the trachea and right side of the lung and were often multiple. The reasons for this are related to the organism per se and the anatomical arrangement of the tracheobronchial airway. The pathophysiology of tuberculous strictures in the tracheobronchial airway and the technique of bronchoscopic laser resection are outlined.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Beamis JF, Vergos K, Rebeiz EE, Shapshay SM (1991) Endoscopic laser therapy for obstructging tracheobronchial lesions. Ann Otol Rhinol Laryngol 100:413–419
Bergstrom B, Ollman B, Lindholm CE (1977) Endotracheal excision of fibrosis, tracheal stenosis and subsequent prolonged stenting. Chest 71:6–12
Carruth JAS, Mckenzie AL (1986) Medical lasers: science and clinical practice. Hilger, Bristol, pp 25–37, 107–116
Corrin B (1990) Chronic bacterial infections. In: Corrin B (ed) Symmers systemic pathology, 3rd edn. The lungs. Churchill Livingstone, Edinburgh, pp 103–119
Dumon JF, Rebound E, Garbe L, Acomte F, Meric B (1982) Treatment of tracheobronchial lesions by laser photoresection. Chest 81:278–284
Fraser RG, Pare JAP, Pare PD, Fraser RS, Genereux GP (1989) Mycobacterial infection of the lungs. In: Fraser RG (ed) Diagnosis of diseases of the chest. Saunders Philadelphia, p 905
Friedman EM, Healy GB, McGill TJI (1983) Carbon dioxide laser management of subglottic and tracheal stenosis. Otolaryngol Clin North Am 16:871–877
Grillo HC (1989) Benign and malignant diseases of the trachea. In: Shields TW (ed) General thoracic surgery. Lee & Febiger, Philadelphia, pp 667–682
Kelly GS, Brown SG, Calder BM, Pearson H, Weaver BMQ, Swain CP, Salmon PR (1983) Histological changes following Nd-YAG laser photocoagulation of canine gastric mucosa. Gut 24:914–920
McDonald GA, Strong MS (1988) Endoscopic laser surgery of the tracheobronchial tree. In: Carruth JAS, Simpson GT(eds) Lasers in otolaryngology. Chapman and Hall, Cambridge, pp 87–100
Ossoff RH, Tucker GF Jr, Duncavage JA, Toohill RJ (1985) Efficacy of bronchoscopic carbon dioxide laser surgery for benign strictures of the trachea. Laryngoscope 95: 1120–1223
Shapshay SM, Beamis JF, Hybels RL, Bohigian RK (1987) Endoscopic treatment of subglottic and tracheal stenosis by radial incision and dilatation. Ann Otol Rhinol Laryngol 96: 661–664
Simpson GT (1988) The laser in laryngeal disease. In: Carruth JAS, Simpson GT (eds) Lasers in otolaryngology. Chapman and Hall, Cambridge, pp 47–85
Simpson GT, Strong S, Healy GB, Shapshay SM, Vaughan CW (1982) Predictive factors of success or failure in the endoscopic management of laryngeal and tracheal stenosis. Ann Otol Rhinol Laryngol 91:384–388
Strong MS, Vaughan CW, Polanyi TG, Wallace R (1974) Bronchoscopic carbon dioxide laser surgery. Ann Otol Rhino] Laryngol 83:769–776
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Tong, M.C.F., van Hasselt, C.A. Tuberculous tracheobronchial strictures: clinicopathological features and management with the bronchoscopic carbon dioxide laser. Eur Arch Otorhinolaryngol 250, 110–114 (1993). https://doi.org/10.1007/BF00179309
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00179309