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Tracheobronchoplasty

  • Sidhu P. Gangadharan
Chapter
Part of the Springer Surgery Atlas Series book series (SPRISURGERY)

Abstract

Tracheobronchoplasty (TBP) is used to stabilize the central airways in cases of severe diffuse tracheobronchomalacia (TBM). With this technique, dynamic collapse of the airways is prevented by splinting the posterior membrane of the thoracic trachea and bilateral main bronchi with a prosthetic mesh. Following TBP in carefully selected patients, amelioration of dyspnea, chronic cough, secretion retention, and recurrent infections may be seen. A short-term trial of airway stabilization with a silicone stent in patients with TBM facilitates identification of candidates for surgical correction.

Keywords

Central Airway Relapse Polychondritis Lung Volume Reduction Surgery Forced Expiration Dynamic Collapse 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Boiselle PM, Ernst A (2006) Tracheal morphology in patients with tracheomalacia: prevalence of inspiratory lunate and expiratory “frown” shapes. J Thorac Imaging 21(3):190–196PubMedCrossRefGoogle Scholar
  2. Ernst A, Majid A, Feller-Kopman D et al (2007) Airway stabilization with silicone stents for treating adult tracheobronchomalacia: a prospective observational study. Chest 132(2):609–616PubMedCrossRefGoogle Scholar
  3. Gangadharan SP (2010) Tracheobronchomalacia in adults. Semin Thorac Cardiovasc Surg 22(2):165–173PubMedCrossRefGoogle Scholar
  4. Gangadharan SP, Bakhos CT, Majid A et al (2011) Technical aspects and outcomes of tracheobronchoplasty for severe tracheobronchomalacia. Ann Thorac Surg 91(5):1574–1581PubMedCrossRefGoogle Scholar
  5. Herzog H, Heitz M, Keller R (1987) Surgical therapy for expiratory collapse of the trachea and large bronchi. In: Grillo H, Eschapasse H (eds) International trends in general thoracic surgery. WB Saunders, PhiladelphiaGoogle Scholar
  6. Lee KS, Ashiku SK, Ernst A et al (2008) Comparison of expiratory CT airway abnormalities before and after tracheoplasty surgery for tracheobronchomalacia. J Thorac Imaging 23(2):121–126PubMedCrossRefGoogle Scholar
  7. Majid A, Guerrero J, Gangadharan S et al (2008) Tracheobronchoplasty for severe tracheobronchomalacia: a prospective outcome analysis. Chest 134(4):801–807PubMedCrossRefGoogle Scholar
  8. Murgu SD, Colt HG (2007) Description of a multidimensional classification system for patients with expiratory central airway collapse. Respirology 12(4):543–550PubMedCrossRefGoogle Scholar
  9. Wright CD, Grillo HC, Hammoud ZT et al (2005) Tracheoplasty for expiratory collapse of central airways. Ann Thorac Surg 80(1):259–266PubMedCrossRefGoogle Scholar
  10. Zhang J, Hasegawa I, Feller-Kopman D et al (2003) Dynamic expiratory volumetric CT imaging of the central airways: comparison of standard-dose and low-dose techniques. Acad Radiol 10(7):719–724PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Division of Thoracic Surgery and Interventional Pulmonology, Department of SurgeryBeth Israel Deaconess Medical CenterBostonUSA

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