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Journals / Türk Toraks Dergisi / 2012 / Cilt: 13 - Sayı: 3

Post-entübasyon trakeal stenozda argon plasma koagülasyonu ile palyatif tedavi

Palliative therapy with argon plasma coagulation in post-ıntubation tracheal stenosis

Aydan MERTOĞLU
Yelda VATANSEVER
Günseli BALCI
Naime TAŞDÖĞEN
Rıfat ÖZACAR
Pages
137–140
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

APC appears to be an effective alternative procedure for endobronchial dilatation in selected patients who are inoperable for either medical or personal reasons.

📌 3 Key Takeaways

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Objective & Hypothesis:Post-intubation tracheal stenosis is usually caused by pressure necrosis at the cuff.
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Key Findings & Data:A 67-year-old male was admitted to our hospital with progressive dyspnea unrelieved by medical management.
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Conclusion & Impact:APC appears to be an effective alternative procedure for endobronchial dilatation in selected patients who are inoperable for either medical or personal reasons.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Palyatif bakım · Erkek · Yaşlı

Abstract

Post-intubation tracheal stenosis is usually caused by pressure necrosis at the cuff. Although the best results are obtained by tracheal reconstruction, not all patients are able to undergo this operation for either medical or personal reasons. A 67-year-old male was admitted to our hospital with progressive dyspnea unrelieved by medical management. Bronchoscopy revealed stenosis of the trachea 2 cm below the vocal cord. In this case, as respiratory failure accompanied by COPD constituted a cont raindication for tracheal surgery. It was decided to dilate the tracheal stenosis with APC. A 20-year-old female was admitted to our hospital with dyspnea and stridor. Bronchoscopy revea led a stenosis of the trachea 3 cm below the vocal cord. Because surgery was refused it was decided to dilate the trac heal stenosis with APC. APC has been successfully employed in the treatment of post-intubation tracheal stenosis in two sur gery-refused and inoperable patients. The patients immediately experienced a relief of symptoms after APC. APC appears to be an effective alternative procedure for endobronchial dilatation in selected patients who are inoperable for either medical or personal reasons.

Özet

Post-entübasyon trakeal stenozlara genellikle endotrakeal tüp “cuf” larına ait basınç nekrozları neden olmaktadır. En iyi sonuç lar trakeal rekonstüksiyon cerrahisi ile alınmasına rağmen, medi kal ya da kişisel nedenlere bağlı olarak her olguda operasyon uygulanamamaktadır. Altmış yedi yaşında erkek hasta medikal tedaviye rağmen giderek artan nefes darlığı yakınması ile hast anemize başvurdu. Bronkoskopide trakeada vokal kordların 2 cm altında stenoz saptandı. Bu olguda KOAH’a bağlı solunum yetmezliği cerrahi için kontrendikasyon oluşturuyordu. Argon Plazma Koagülasyonu (APC) ile trakeal stenozun dilatasyonuna karar verildi. Yirmi yaşında genç kadın hasta nefes darlığı ve stridor ile hastanemize başvurdu. Bronkoskopide trakeada vokal kordların 3 cm altında stenoz saptandı. Cerrahi tedaviyi reddettiği için olguda APC ile trakeal dilatasyon kararı alındı. APC cerrahi tedaviyi reddeden ve klinik olarak inoperabl olan iki hastada başarılı palyasyon sağladı. Olguların işlemden hemen sonra semptomlarında düzelme gözlendi. Seçilmiş olgularda APC endobronşial desobstrüksiyonu sağlayan etkin bir alternatif tedavi gibi görünmektedir.

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Cite This Article

MERTOĞLU, A., VATANSEVER, Y., BALCI, G., TAŞDÖĞEN, N., ÖZACAR, R. (2012). Post-entübasyon trakeal stenozda argon plasma koagülasyonu ile palyatif tedavi. Türk Toraks Dergisi, Cilt: 13 - Sayı: 3, 137–140. https://ajindex.com/articles/329621

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