1/42. A resuscitated case from asphyxia by large bronchial cast.A 62-year-old woman with bronchiectasis suffered from asphyxia due to a large bronchial cast that obstructed the bronchial tree. Immediate bronchoscopic suction of a bronchial cast of 17 cm in length through the intubated tube relieved the patients without any complications. Large bronchial casts appear to be rare in this century but it should be considered in patients with acute exacerbation of excessive sputa not only in patients with asthma or allergy but also in patients with respiratory tract infection.- - - - - - - - - - ranking = 1keywords = tree (Clic here for more details about this article) |
2/42. Wegener's granulomatosis causing laryngeal and tracheobronchial obstruction in an adolescent girl.A 12-year-old girl presenting with a painful neck mass and ulcerated gingival lesions was found to have Wegener's granulomatosis involving the gingivae, paranasal sinuses, ears, mastoids, larynx, trachea, bronchial tree, lungs, kidneys and joints. The initial illness and two subsequent exacerbations were treated with intravenous and oral cyclophosphamide and prednisone. Secondary infections have been managed with establishment of good drainage and use of appropriate antibiotics. The patient is well with a normal sedimentation rate 4 1/2 years after the onset of her disease.- - - - - - - - - - ranking = 1keywords = tree (Clic here for more details about this article) |
3/42. Left upper lobe bronchus reimplantation for nonpenetrating thoracic trauma.Trauma to the tracheobronchial tree has been diagnosed and treated with increasing frequency over the last several decades. However, most reports have dealt with management of injuries to the trachea and main stem bronchi, as approximately 80% of blunt tracheobronchial injuries occur within this area. With few exceptions, injury to the lobar bronchi has resulted in thoracotomy and lobectomy. We describe a patient with an injury to the left upper lobe bronchus who presented with delayed obstruction of the airway by fibrogranulation tissue. A successful segmental resection of the bronchial occlusion with reimplantation was performed, thereby preserving the patient's otherwise normal left upper lobe. This case demonstrates that resection and reimplantation of an injured lobar bronchus are feasible, even in a delayed setting.- - - - - - - - - - ranking = 1keywords = tree (Clic here for more details about this article) |
4/42. A case report of aspergillus hypersensitivity syndrome with obstructing bronchial aspergillosis.INTRODUCTION: A 62-year-old Indian male with diabetes mellitus presented with atypical, overlap features of aspergillus hypersensitivity syndrome and obstructing bronchial aspergillosis. CLINICAL PICTURE: He was febrile and tachypnoeic with diffuse crepitations and wheezing. Chest X-ray was normal but eosinophil count was 2900/mm3 and Ig E > 10,000 IU/ml. TREATMENT AND OUTCOME: He responded initially to high dose steroid therapy but deteriorated subsequently from extensive mucus plugging of the bronchial tree which resulted in respiratory failure and death. He was hiv-negative. CONCLUSION: culture and histologic examination of bronchoscopically identified tracheobronchial mucus plugs should be performed as early treatment may be life-saving.- - - - - - - - - - ranking = 1keywords = tree (Clic here for more details about this article) |
5/42. Photodynamic therapy: a case series demonstrating its role in patients receiving mechanical ventilation.Photodynamic therapy (PDT) has long been used to treat cancers within the tracheobronchial tree. There have been many reports about the use of PDT for the treatment of carcinoma in situ and for obstructive endobronchial lesions. PDT has not been previously reported in patients receiving mechanical ventilation. PDT offers the advantages of a relatively short duration of treatment, a low side effect profile, and relatively low risk when compared to Nd-YAG laser in patients receiving mechanical ventilation. We report the first successful use of PDT to wean patients from mechanical ventilation.- - - - - - - - - - ranking = 1keywords = tree (Clic here for more details about this article) |
6/42. Postpneumonectomy syndrome after left pneumonectomy.Postpneumonectomy syndrome, a late complication of pneumonectomy, is secondary to shift of the mediastinum and remaining lung toward the pneumonectomy side, leading to tracheobronchial compression between the vertebral body and the aorta or pulmonary artery. Obstructive airway symptoms are usually due to tracheobronchial tree compression, however, secondary airway malacia may develop. We report herein a case of postpneumonectomy syndrome with secondary bronchomalacia after left pneumonectomy in a patient with normal mediastinal vascular anatomy.- - - - - - - - - - ranking = 1keywords = tree (Clic here for more details about this article) |
7/42. Endobronchial photodynamic therapy for the treatment of lung cancer.After 2 decades of basic research and clinical experience with endobronchial photodynamic therapy, clear indications for its use have arisen. PDT for the treatment of superficial NSCLC is a viable alternative for patients with inoperable lung cancer. Although early indications are that it may be used to spare operable patients an aggressive surgical procedure, this application still should be considered investigational. The standard of care remains surgical resection in the operable patient. PDT may be considered for the palliation of obstructing lesions of the tracheobronchial tree; however, the risk for prolonged sensitivity to sunlight limits its broad application in this patient population. As better screening techniques are introduced, the role of PDT will expand in the future management of superficial lung cancers. Future developments include new photosensitizers with decreased duration of sun sensitivity and greater choice of wavelength to affect depth of penetration, better dosimetry systems for more consistent light delivery and reporting of results, and better light delivery systems for more homogenous distribution of light.- - - - - - - - - - ranking = 1keywords = tree (Clic here for more details about this article) |
8/42. Tracheal polyp.Benign tumors of the tracheobronchial tree are extremely rare. A case of a benign inflammatory endotracheal polyp and literature review are presented, including classification and treatment options. Although rare, these lesions must be efficiently diagnosed and expeditiously removed to prevent airway occlusion or irreversible pulmonary disease.- - - - - - - - - - ranking = 1keywords = tree (Clic here for more details about this article) |
9/42. Total intravenous anaesthesia for tracheobronchial stenting in children.Stenosis and malacia of the tracheobronchial tree, most often secondary to prolonged intubation, tracheostomy or following correction of a congenital cardiac lesion, present a significant therapeutic problem, especially when the lesions are extensive. The utilization of self-expanding tracheobronchial stents is a useful addition to the medical armamentarium for maintenance of airways in these patients with major airway stenosis and collapse. The majority of previous reported cases of tracheobronchial stenting have been performed under general anaesthesia with the help of rigid bronchoscopy under direct vision. We conducted two cases of tracheobronchial stenting in postoperative cardiosurgical babies under continuous propofol infusion taking advantage of cardiovascular stability during continuous infusion and rapid emergence after its discontinuation.- - - - - - - - - - ranking = 1keywords = tree (Clic here for more details about this article) |
10/42. food allergy masquerading as foreign body obstruction.BACKGROUND: Allergic reactions to peanut and tree nuts can present as upper airway obstruction. OBJECTIVE: To increase awareness that food allergy should be considered in the differential diagnosis of upper airway obstruction in children. methods: We report an allergic reaction to cashew that was initially misdiagnosed as foreign body aspiration. RESULTS: When the presenting signs and symptoms of food allergy are limited to upper airway obstruction, they can be confused with foreign body aspiration. CONCLUSIONS: As peanuts and tree nuts are common causes of both food allergy and foreign body aspiration in children, both of these diagnoses should be considered in the differential diagnosis of airway obstruction.- - - - - - - - - - ranking = 2keywords = tree (Clic here for more details about this article) |
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