Conservative management of airway tear as a complication of silicone endobronchial stenting in bronchomalacia secondary to endobronchial tuberculosis

Tracheobronchial stenosis due to tuberculosis (TSTB) is a potentially debilitating complication of endobronchial tuberculosis (EBTB). Endobronchial interventions including silicone stent insertion is an acceptable approach to improve quality of life among patients with TSTB. However, little is known...

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Main Authors: Huan, Nai‐Chien, Khai, Lip Ng, Nasaruddin, Mona Zaria, Muhammad, Noorul Afidza, Daut, Ummi Nadira, Abdul Rahaman, Jamalul Azizi
Format: Article
Language:English
Published: John Wiley & Sons 2020
Online Access:http://psasir.upm.edu.my/id/eprint/88244/1/ABSTRACT.pdf
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author Huan, Nai‐Chien
Khai, Lip Ng
Nasaruddin, Mona Zaria
Muhammad, Noorul Afidza
Daut, Ummi Nadira
Abdul Rahaman, Jamalul Azizi
author_facet Huan, Nai‐Chien
Khai, Lip Ng
Nasaruddin, Mona Zaria
Muhammad, Noorul Afidza
Daut, Ummi Nadira
Abdul Rahaman, Jamalul Azizi
author_sort Huan, Nai‐Chien
collection UPM
description Tracheobronchial stenosis due to tuberculosis (TSTB) is a potentially debilitating complication of endobronchial tuberculosis (EBTB). Endobronchial interventions including silicone stent insertion is an acceptable approach to improve quality of life among patients with TSTB. However, little is known about the optimal management strategy for patients with bronchomalacia secondary to EBTB (B‐EBTB) and whether stent‐related complication rates are higher among this group of patients. Herein, we report two patients with B‐EBTB who unfortunately developed bronchial tear related to silicone endobronchial stenting. Both patients were successfully managed conservatively without the need for emergency open surgery. We hypothesize that endobronchial intervention might be more beneficial for patients with pure TSTB and might be riskier in cases of bronchomalacia with reduced airway thickness and loss of airway cartilaginous support. More future studies are needed to bridge the current gap in knowledge regarding the optimal management and role of endobronchial interventions among patients with B‐EBTB.
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spelling upm.eprints-882442022-03-10T05:27:55Z http://psasir.upm.edu.my/id/eprint/88244/ Conservative management of airway tear as a complication of silicone endobronchial stenting in bronchomalacia secondary to endobronchial tuberculosis Huan, Nai‐Chien Khai, Lip Ng Nasaruddin, Mona Zaria Muhammad, Noorul Afidza Daut, Ummi Nadira Abdul Rahaman, Jamalul Azizi Tracheobronchial stenosis due to tuberculosis (TSTB) is a potentially debilitating complication of endobronchial tuberculosis (EBTB). Endobronchial interventions including silicone stent insertion is an acceptable approach to improve quality of life among patients with TSTB. However, little is known about the optimal management strategy for patients with bronchomalacia secondary to EBTB (B‐EBTB) and whether stent‐related complication rates are higher among this group of patients. Herein, we report two patients with B‐EBTB who unfortunately developed bronchial tear related to silicone endobronchial stenting. Both patients were successfully managed conservatively without the need for emergency open surgery. We hypothesize that endobronchial intervention might be more beneficial for patients with pure TSTB and might be riskier in cases of bronchomalacia with reduced airway thickness and loss of airway cartilaginous support. More future studies are needed to bridge the current gap in knowledge regarding the optimal management and role of endobronchial interventions among patients with B‐EBTB. John Wiley & Sons 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/88244/1/ABSTRACT.pdf Huan, Nai‐Chien and Khai, Lip Ng and Nasaruddin, Mona Zaria and Muhammad, Noorul Afidza and Daut, Ummi Nadira and Abdul Rahaman, Jamalul Azizi (2020) Conservative management of airway tear as a complication of silicone endobronchial stenting in bronchomalacia secondary to endobronchial tuberculosis. Respirology Case Reports, 8 (9). art. no. 00684. pp. 1-5. ISSN 2051-3380 https://onlinelibrary.wiley.com/doi/10.1002/rcr2.684 10.1002/rcr2.684
spellingShingle Huan, Nai‐Chien
Khai, Lip Ng
Nasaruddin, Mona Zaria
Muhammad, Noorul Afidza
Daut, Ummi Nadira
Abdul Rahaman, Jamalul Azizi
Conservative management of airway tear as a complication of silicone endobronchial stenting in bronchomalacia secondary to endobronchial tuberculosis
title Conservative management of airway tear as a complication of silicone endobronchial stenting in bronchomalacia secondary to endobronchial tuberculosis
title_full Conservative management of airway tear as a complication of silicone endobronchial stenting in bronchomalacia secondary to endobronchial tuberculosis
title_fullStr Conservative management of airway tear as a complication of silicone endobronchial stenting in bronchomalacia secondary to endobronchial tuberculosis
title_full_unstemmed Conservative management of airway tear as a complication of silicone endobronchial stenting in bronchomalacia secondary to endobronchial tuberculosis
title_short Conservative management of airway tear as a complication of silicone endobronchial stenting in bronchomalacia secondary to endobronchial tuberculosis
title_sort conservative management of airway tear as a complication of silicone endobronchial stenting in bronchomalacia secondary to endobronchial tuberculosis
url http://psasir.upm.edu.my/id/eprint/88244/1/ABSTRACT.pdf
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