Stent placement for tracheobronchomalacia in adults

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Javascript is currently disabled in your browser. Several features of this site will not function whilst javascript is disabled. Received 20 February

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Study record managers: refer to the Data Element Definitions if submitting registration or results information. We plan to enroll total of 60 patients with EDAC randomized by a computer generated system to either intervention group airway stent or medical management group. Previous to appointment all patients will have Airway CT scan, 6 minute walk test and pulmonary function test as per protocol and standard of care.

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Volume 6, Number 10, Octoberpages Down syndrome is a common chromosomal abnormality associated with many different structural anomalies. Tracheomalacia results in tracheal collapse when increased airflow is demanded due to the flaccidity of the tracheal support cartilage.

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Malacia of the pediatric airway presents itself in a variety of clinical circumstances. Pediatric airway stenting is a more recent treatment modality. Complications may necessitate stent removal.

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Stridor and respiratory failure due to tracheobronchomalacia: case report and review of the literature. In this paper, we present a rare case of a patient with TBM who first presented with stridor and respiratory failure due to exacerbation of chronic bronchitis. He had a medical history of chronic obstructive pulmonary disease COPD and silicosis and was a former smoker.

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Balloon-expandable metallic angioplasty stent being expanded under fluoroscopic control. Balloon-expandable metallic angioplasty stent loaded on angioplasty catheter for insertion. Arch Otolaryngol Head Neck Surg.

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Softening may occur in part or all of the tracheal cartilage and may even extend beyond the trachea tracheobronchomalacia. Methods for the treatment of severe tracheomalacia in adults are limited and there is no uniform standard. Surgical treatments, including stent implantation 23tracheostomy tube insertion 1 and external tracheal stabilization 4have been shown to have a number of therapeutic effects; however, their use requires careful consideration on an individual basis and is generally restricted to patients with localized disease.

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There is increasing recognition of tracheobronchomalacia TBM in patients with respiratory complaints, though its true incidence in the adult population remains unknown. Most of these patients have an acquired form of severe diffuse TBM of unclear etiology. The mainstays of diagnosis are dynamic inspiratory and expiratory airway computed tomography CT scan and dynamic flexible bronchoscopy with forced expiratory maneuvers.

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