Tadjeddein Ahmad, Khorgami Zhamak, Akhlaghi Hamed
Thoracic Surgery Ward, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Ann Thorac Surg. 2006 Apr;81(4):1480-2. doi: 10.1016/j.athoracsur.2005.04.013.
Tracheobronchopathia osteochondroplastica is a rare benign disorder affecting the trachea and the bronchi. We report a case presenting as difficulty during tracheal intubation. Chest roentgenogram revealed nothing before surgery. Findings on computed tomographic imaging scans show calcified nodular densities protruding into the tracheal lumen, with an abnormally irregular tracheal morphology and decreased lateral diameter. The fiber optic bronchoscopy, which was unable to pass more than 4 to 5 cm, showed enormous prominent protrusion with significant narrowing of the tracheal lumen. The diagnosis was confirmed by virtual bronchoscopy, which showed a tracheal narrowing with a beaded appearance and an irregular border that extended into the trachea and main bronchi.
骨化性气管支气管病是一种累及气管和支气管的罕见良性疾病。我们报告一例表现为气管插管困难的病例。术前胸部X线片未见异常。计算机断层成像扫描结果显示钙化结节状密度影突入气管腔内，气管形态异常不规则，横径减小。纤维支气管镜无法通过超过4至5厘米，显示有巨大的突出物，气管腔明显狭窄。虚拟支气管镜检查证实了诊断，显示气管狭窄呈串珠状外观，边界不规则，延伸至气管和主支气管。
