Tuberc Respir Dis.  2002 Oct;53(4):450-456. 10.4046/trd.2002.53.4.450.

A Case of Idiopathic Tracheal Stenosis Treated with Tracheal Resection After a Retrievable Stent Insertion

Affiliations
  • 1Department of Pulmonology, Ajou University School of Medicine, Suwon, Korea. parkkj@ajou.ac.kr
  • 2Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine, Suwon, Korea.
  • 3Department of Pathology, Ajou University School of Medicine, Suwon, Korea.

Abstract

Idiopathic tracheal stenosis is a type of benign stenosis that possesses specific characteristics but is of unknown origin. It is a rare disease characterized by extensive fibrosis of a portion of trachea, and predominantly found in women. The lesion presents as circumferential fibrotic stenosis that usually occurs at upper trachea and the subglottic larynx, but lower trachea may also be involved. Diagnosis is made from the clinical characteristics accompanied by compatible pathologic features and by exclusion of other etiologies. Conservative management such as laser resection, dilatation and stent insertion can be tried initially, but surgical resection is recommended for definitive treatment due to frequent restenosis and maintenance problems of conservative approach. We report a case of idiopathic tracheal stenosis treated with tracheal resection and anastomosis followed by insertion of a retrievable stent for immediate relief of airway obstruction.

Keyword

Idiopathic tracheal stenosis; stent; trachea; surgery

MeSH Terms

Airway Obstruction
Constriction, Pathologic
Diagnosis
Dilatation
Female
Fibrosis
Humans
Larynx
Rare Diseases
Stents*
Trachea
Tracheal Stenosis*
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