RESUMO
Endobronchial ablative therapies are used to address a variety of malignant and benign airway lesions. By utilizing endobronchial ablative techniques patients with symptomatic airway lesions may receive significant symptom improvement, improved quality of life, and improved life expectancy. Endobronchial ablative therapies include laser, electrocautery, argon plasma coagulation, cryotherapy, brachytherapy, and photodynamic therapy. The choice to use one therapy versus another depends on technical and patient specific factors. This article reviews indications and contraindications for each therapy, discusses details related to each endobronchial ablative therapy, complications of endobronchial ablative therapies, and briefly discusses practical consideration with endobronchial ablative therapies.
Assuntos
Técnicas de Ablação , Obstrução das Vias Respiratórias/terapia , Broncopatias/terapia , Broncoscopia/métodos , Técnicas de Ablação/métodos , Contraindicações , Crioterapia , Eletrocoagulação , Humanos , Terapia a Laser , FotoquimioterapiaRESUMO
Tracheobronchomalacia (TBM) and hyperdynamic airway collapse (HDAC) can be debilitating diseases associated with decreased functional capacity and poor quality of life, although there is no standard definition of this complex condition, and there are numerous terms used to describe it. The diverse etiology associated with TBM and HDAC can obscure and delay an accurate diagnosis for years. A thorough medical history is important in understanding possible causes and in guiding diagnostic testing. Medical history may also suggest what treatments may be most beneficial.
Assuntos
Doenças da Traqueia/diagnóstico , Traqueobroncomalácia/diagnóstico , Traqueomalácia/diagnóstico , Diagnóstico Diferencial , Humanos , Doenças da Traqueia/epidemiologia , Doenças da Traqueia/etiologia , Doenças da Traqueia/terapia , Traqueobroncomalácia/epidemiologia , Traqueobroncomalácia/etiologia , Traqueobroncomalácia/terapia , Traqueomalácia/epidemiologia , Traqueomalácia/etiologia , Traqueomalácia/terapiaRESUMO
Paraganglioma of the trachea is a rare neoplasm, with fewer than 15 cases reported. A 40-year-old man presented with stridor and hemoptysis. Bronchoscopy demonstrated a tumor of the posterior trachea and biopsy initially suggested typical carcinoid. The patient underwent surgical resection uneventfully and made a good recovery. Final pathology disclosed the tumor to be a paraganglioma based on immunohistology. The pathophysiology and treatment of this tumor are discussed.