Temporary stenting in a case of bronchomalacia due to relapsing polychondritis
Abstract Airway involvement in relapsing polychondritis (RP) can often be debilitating and life threatening. Interventional procedures such as stenting can be useful to improve airway stenosis. This case was diagnosed with RP with a circumferential obstruction at the left main bronchus. We determine...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-12-01
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| Series: | Respirology Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/rcr2.1060 |
| _version_ | 1828179199007916032 |
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| author | Hiroshi Handa Hajime Tsuruoka Shin Matsuzawa Shinya Azagami Masamichi Mineshita |
| author_facet | Hiroshi Handa Hajime Tsuruoka Shin Matsuzawa Shinya Azagami Masamichi Mineshita |
| author_sort | Hiroshi Handa |
| collection | DOAJ |
| description | Abstract Airway involvement in relapsing polychondritis (RP) can often be debilitating and life threatening. Interventional procedures such as stenting can be useful to improve airway stenosis. This case was diagnosed with RP with a circumferential obstruction at the left main bronchus. We determined that a silicone airway stent would be placed. The silicone stent was removed after 22 months due to granulation tissue. After stent removal, bronchoscopic findings revealed a collapsing left main bronchus during exhalation, but airway patency was maintained during inhalation without any respiratory symptoms. In this case, bronchomalacia remained after stent removal. However, since there were no severe respiratory symptoms, we decided that stent replacement was unnecessary. In general, it is difficult to remove airway stents in severe tracheobronchomalacia; however, temporary stenting might be a useful procedure in cases with unilateral main bronchial stenosis. |
| first_indexed | 2024-04-12T05:28:04Z |
| format | Article |
| id | doaj.art-6b147827a8ec485abbc5a9c41482beb5 |
| institution | Directory Open Access Journal |
| issn | 2051-3380 |
| language | English |
| last_indexed | 2024-04-12T05:28:04Z |
| publishDate | 2022-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj.art-6b147827a8ec485abbc5a9c41482beb52022-12-22T03:46:13ZengWileyRespirology Case Reports2051-33802022-12-011012n/an/a10.1002/rcr2.1060Temporary stenting in a case of bronchomalacia due to relapsing polychondritisHiroshi Handa0Hajime Tsuruoka1Shin Matsuzawa2Shinya Azagami3Masamichi Mineshita4Division of Respiratory Diseases, Department of Internal Medicine St. Marianna University School of Medicine Kawasaki JapanDivision of Respiratory Diseases, Department of Internal Medicine St. Marianna University School of Medicine Kawasaki JapanDivision of Respiratory Diseases, Department of Internal Medicine St. Marianna University School of Medicine Kawasaki JapanDivision of Respiratory Diseases, Department of Internal Medicine St. Marianna University School of Medicine Kawasaki JapanDivision of Respiratory Diseases, Department of Internal Medicine St. Marianna University School of Medicine Kawasaki JapanAbstract Airway involvement in relapsing polychondritis (RP) can often be debilitating and life threatening. Interventional procedures such as stenting can be useful to improve airway stenosis. This case was diagnosed with RP with a circumferential obstruction at the left main bronchus. We determined that a silicone airway stent would be placed. The silicone stent was removed after 22 months due to granulation tissue. After stent removal, bronchoscopic findings revealed a collapsing left main bronchus during exhalation, but airway patency was maintained during inhalation without any respiratory symptoms. In this case, bronchomalacia remained after stent removal. However, since there were no severe respiratory symptoms, we decided that stent replacement was unnecessary. In general, it is difficult to remove airway stents in severe tracheobronchomalacia; however, temporary stenting might be a useful procedure in cases with unilateral main bronchial stenosis.https://doi.org/10.1002/rcr2.1060airway stentsrelapsing polychondritistracheobronchomalacia |
| spellingShingle | Hiroshi Handa Hajime Tsuruoka Shin Matsuzawa Shinya Azagami Masamichi Mineshita Temporary stenting in a case of bronchomalacia due to relapsing polychondritis Respirology Case Reports airway stents relapsing polychondritis tracheobronchomalacia |
| title | Temporary stenting in a case of bronchomalacia due to relapsing polychondritis |
| title_full | Temporary stenting in a case of bronchomalacia due to relapsing polychondritis |
| title_fullStr | Temporary stenting in a case of bronchomalacia due to relapsing polychondritis |
| title_full_unstemmed | Temporary stenting in a case of bronchomalacia due to relapsing polychondritis |
| title_short | Temporary stenting in a case of bronchomalacia due to relapsing polychondritis |
| title_sort | temporary stenting in a case of bronchomalacia due to relapsing polychondritis |
| topic | airway stents relapsing polychondritis tracheobronchomalacia |
| url | https://doi.org/10.1002/rcr2.1060 |
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