Jung Ye-Ryung, Taek Jeong Joon, Kyu Lee Myoung, Kim Sang-Ha, Joong Yong Suk, Jeong Lee Seok, Lee Won-Yeon
Department of Internal Medicine, Yonsei University, Wonju College of Medicine, Korea.
Intern Med. 2016;55(22):3331-3335. doi: 10.2169/internalmedicine.55.6421. Epub 2016 Nov 15.
Post-intubation tracheal stenosis accounts for the greatest proportion of whole-cause tracheal stenosis. Treatment of post-intubation tracheal stenosis requires a multidisciplinary approach. Surgery or an endoscopic procedure can be used, depending on the type of stenosis. However, the efficacy of cryotherapy in post-intubation tracheal stenosis has not been validated. Here, we report a case of recurring post-intubation tracheal stenosis successfully treated with bronchoscopic cryotherapy that had previously been treated with surgery. In this case, cryotherapy was effective in treating web-like fibrous stenosis, without requiring more surgery. Cryotherapy can be considered as an alternative or primary treatment for post-intubation tracheal stenosis.
气管插管后气管狭窄在全因性气管狭窄中占比最大。气管插管后气管狭窄的治疗需要多学科方法。根据狭窄类型,可采用手术或内镜手术。然而,冷冻疗法在气管插管后气管狭窄中的疗效尚未得到验证。在此,我们报告一例复发性气管插管后气管狭窄病例,该病例先前接受过手术治疗,后通过支气管镜冷冻疗法成功治愈。在该病例中,冷冻疗法有效治疗了条索状纤维性狭窄,无需进一步手术。冷冻疗法可被视为气管插管后气管狭窄的替代或主要治疗方法。