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Marchioni A, Tonelli R, Samarelli AV, Cappiello GF, Andreani A, Tabbì L, Livrieri F, Bosi A, Nori O, Mattioli F, Bruzzi G, Marchioni D, Clini E. Molecular Biology and Therapeutic Targets of Primitive Tracheal Tumors: Focus on Tumors Derived by Salivary Glands and Squamous Cell Carcinoma. Int J Mol Sci 2023; 24:11370. [PMID: 37511133 PMCID: PMC10379311 DOI: 10.3390/ijms241411370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2023] [Revised: 07/06/2023] [Accepted: 07/10/2023] [Indexed: 07/30/2023] Open
Abstract
Primary tracheal tumors are rare, constituting approximately 0.1-0.4% of malignant diseases. Squamous cell carcinoma (SCC) and adenoid cystic carcinoma (ACC) account for about two-thirds of these tumors. Despite most primary tracheal cancers being eligible for surgery and/or radiotherapy, unresectable, recurrent and metastatic tumors may require systemic treatments. Unfortunately, the poor response to available chemotherapy as well as the lack of other real therapeutic alternatives affects the quality of life and outcome of patients suffering from more advanced disease. In this condition, target therapy against driver mutations could constitute an alternative to chemotherapy, and may help in disease control. The past two decades have seen extraordinary progress in developing novel target treatment options, shifting the treatment paradigm for several cancers such as lung cancer. The improvement of knowledge regarding the genetic and biological alterations, of major primary tracheal tumors, has opened up new treatment perspectives, suggesting the possible role of biological targeted therapies for the treatment of these rare tumors. The purpose of this review is to outline the state of knowledge regarding the molecular biology, and the preliminary data on target treatments of the main primary tracheal tumors, focusing on salivary-gland-derived cancers and squamous cell carcinoma.
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Affiliation(s)
- Alessandro Marchioni
- Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University of Modena Reggio Emilia, University Hospital of Modena, 41121 Modena, Italy
| | - Roberto Tonelli
- Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University of Modena Reggio Emilia, University Hospital of Modena, 41121 Modena, Italy
- Clinical and Experimental Medicine PhD Program, University of Modena Reggio Emilia, 41121 Modena, Italy
| | - Anna Valeria Samarelli
- Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University of Modena Reggio Emilia, University Hospital of Modena, 41121 Modena, Italy
- Clinical and Experimental Medicine PhD Program, University of Modena Reggio Emilia, 41121 Modena, Italy
| | - Gaia Francesca Cappiello
- Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University of Modena Reggio Emilia, University Hospital of Modena, 41121 Modena, Italy
| | - Alessandro Andreani
- Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University of Modena Reggio Emilia, University Hospital of Modena, 41121 Modena, Italy
| | - Luca Tabbì
- Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University of Modena Reggio Emilia, University Hospital of Modena, 41121 Modena, Italy
| | - Francesco Livrieri
- Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University of Modena Reggio Emilia, University Hospital of Modena, 41121 Modena, Italy
| | - Annamaria Bosi
- Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University of Modena Reggio Emilia, University Hospital of Modena, 41121 Modena, Italy
| | - Ottavia Nori
- Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University of Modena Reggio Emilia, University Hospital of Modena, 41121 Modena, Italy
| | | | - Giulia Bruzzi
- Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University of Modena Reggio Emilia, University Hospital of Modena, 41121 Modena, Italy
- Otolaryngology Unit, University Hospital of Modena, 41121 Modena, Italy
| | - Daniele Marchioni
- Otolaryngology Unit, University Hospital of Modena, 41121 Modena, Italy
| | - Enrico Clini
- Respiratory Diseases Unit, Department of Medical and Surgical Sciences, University of Modena Reggio Emilia, University Hospital of Modena, 41121 Modena, Italy
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Segura-Salguero JC, Díaz-Bohada L, Ruiz ÁJ. Perioperative management of patients undergoing tracheal resection and reconstruction: a retrospective observational study. BRAZILIAN JOURNAL OF ANESTHESIOLOGY (ENGLISH EDITION) 2022; 72:331-337. [PMID: 35183604 PMCID: PMC9373245 DOI: 10.1016/j.bjane.2022.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Revised: 01/16/2022] [Accepted: 02/06/2022] [Indexed: 11/29/2022]
Affiliation(s)
| | - Lorena Díaz-Bohada
- Hospital Universitario San Ignacio, Department of Anesthesiology, Bogotá, Colombia
| | - Álvaro J Ruiz
- Pontificia Universidad Javeriana, Department of Internal Medicine, Bogotá, Colombia
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Update on Tracheostomy and Upper Airway Considerations in the Head and Neck Cancer Patient. Surg Clin North Am 2022; 102:267-283. [DOI: 10.1016/j.suc.2021.12.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Ahmed MM, Galal IHE, Sakr HM, Gomaa AA, Osman AM, El-Assal MH. Role of ultrasound in airway assessment in the respiratory ICUs. THE EGYPTIAN JOURNAL OF BRONCHOLOGY 2019. [DOI: 10.4103/ejb.ejb_59_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Abstract
Stridor is a high-pitched respiratory sound that signals upper airway obstruction. It can be encountered by clinicians in a variety of clinical settings and requires a team-based, interdisciplinary approach. Early recognition is crucial, as the differential diagnosis can be broad, and causes range from benign to life-threatening. This article reviews the most commonly encountered causes of chronic congenital stridor in infants, focusing on the diagnostic approach, pathophysiology, clinical presentation, and management strategies.
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Abstract
Malignant airway tumors present particular challenges for surgeons, namely: to distinguish symptoms from those of the more frequent benign airway diseases; to separate metastatic disease from the uncommon primary tumors; and to consider curative resection in appropriate candidates. Here, we present a critical review of tracheal malignant obstruction, focusing on the evaluation of a patient with malignant airway tumor, patient selection for resection and the predictors of long-term survival. The new development in primary tracheal tumors is an old story, that of making physicians aware that resection rates in epidemiologic studies remain low, mainly because opportunities for resection are missed.
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Affiliation(s)
- Maria Lucia L Madariaga
- Division of Thoracic Surgery, Department of Surgery, Massachusetts General Hospital, Boston, MA, USA
| | - Henning A Gaissert
- Division of Thoracic Surgery, Department of Surgery, Massachusetts General Hospital, Boston, MA, USA
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Ding L, Chen C, Zeng YY, Zhu JJ, Huang JA, Zhu YH. Rapid response in a critical lung adenocarcinoma presenting as large airway stenoses after receiving stent implantation and sequential rebiopsy guided ALK inhibitor therapy: a case report. J Thorac Dis 2017; 9:E230-E235. [PMID: 28449509 DOI: 10.21037/jtd.2017.02.64] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Airway stent implantation can improve the symptoms of airway stenosis caused by a malignant tumor immediately. However, stent implantation is only a palliative therapy and disease will quickly progress without subsequent treatment. Targeted therapy can provide accurate etiological treatment for patients with critical lung cancer who cannot receive chemotherapies. In our clinic, we encountered a 50-year-old male presenting with stage IV lung adenocarcinoma. He failed both the first-line and second-line chemotherapies and suffered severe complex left and right main bronchial stenoses caused by tumor invasion. An emergency stent was implanted to relieve dyspnea symptoms. At nearly the same time, he was detected to have an ALK gene fusion mutation upon rebiopsy and subsequently began crizotinib therapy. A short time later his obstructed airway returned to normal and lesions in the lung were miraculously reduced. This case indicates that the combination of stent implantation and real-time rebiopsy guided targeted therapy brings a new hope for patients with critical lung cancer.
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Affiliation(s)
- Ling Ding
- Department of Respiratory Medicine, the First Affiliated Hospital of Soochow University, Suzhou 215006, China
| | - Cheng Chen
- Department of Respiratory Medicine, the First Affiliated Hospital of Soochow University, Suzhou 215006, China
| | - Yuan-Yuan Zeng
- Department of Respiratory Medicine, the First Affiliated Hospital of Soochow University, Suzhou 215006, China
| | - Jian-Jie Zhu
- Department of Respiratory Medicine, the First Affiliated Hospital of Soochow University, Suzhou 215006, China
| | - Jian-An Huang
- Department of Respiratory Medicine, the First Affiliated Hospital of Soochow University, Suzhou 215006, China
| | - Ye-Han Zhu
- Department of Respiratory Medicine, the First Affiliated Hospital of Soochow University, Suzhou 215006, China
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López-Padilla D, García-Luján R, Puente Maestu L, de Miguel Poch E. Tracheobronchomalacia treatment: how far have we come? J Thorac Dis 2017; 8:3490-3493. [PMID: 28149540 DOI: 10.21037/jtd.2016.12.91] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
| | | | - Luis Puente Maestu
- Respiratory Department, Gregorio Marañón University Hospital, Madrid, Spain
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Kaye R, Goldstein T, Aronowitz D, Grande DA, Zeltsman D, Smith LP. Ex vivo tracheomalacia model with 3D-printed external tracheal splint. Laryngoscope 2016; 127:950-955. [DOI: 10.1002/lary.26213] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2016] [Revised: 06/01/2016] [Accepted: 06/27/2016] [Indexed: 12/18/2022]
Affiliation(s)
- Rachel Kaye
- Department of Otorhinolaryngology-Head and Neck Surgery; Montefiore Medical Center, Albert Einstein College of Medicine; Bronx New York U.S.A
| | - Todd Goldstein
- The Feinstein Institute for Medical Research; Manhasset New York U.S.A
- Hofstra Northwell School of Medicine; Hempstead New York U.S.A
| | | | - Daniel A. Grande
- The Feinstein Institute for Medical Research; Manhasset New York U.S.A
- Hofstra Northwell School of Medicine; Hempstead New York U.S.A
| | - David Zeltsman
- Hofstra Northwell School of Medicine; Hempstead New York U.S.A
- Division of Thoracic Surgery; Northwell Health, Steven and Alexandra Cohen Children's Medical Center; New Hyde Park New York U.S.A
| | - Lee P. Smith
- Hofstra Northwell School of Medicine; Hempstead New York U.S.A
- Division of Pediatric Otolaryngology; Steven and Alexandra Cohen Children's Medical Center; New Hyde Park New York U.S.A
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Kurada S, Karthekeyan RB, Vakamudi M, Thangavelu P. Management of tracheomalacia in an infant with Tetralogy of Fallot. Indian J Anaesth 2015; 59:240-3. [PMID: 25937651 PMCID: PMC4408653 DOI: 10.4103/0019-5049.155002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Most infants with tracheomalacia do not need specific therapy as it usually resolves spontaneously by the age of 1–2 years. Severe forms of tracheomalacia characterized by recurrent respiratory infections require active treatment which includes chest physiotherapy, long term intubation or tracheostomy. Aortopexy seems to be the treatment of choice for secondary and even primary forms of severe tracheomalacia. Itentails tracking and suturing the anterior wall of the aorta to the posterior surface of the sternum. Consequently, the anterior wall of the trachea is also pulled forward preventing its collapse. A 3-month-old girl baby who was on ventilatory support for 2 months due to severe tracheomalacia associated with a cyanotic congenital heart disease underwent intracardiac repair and aortopexy along with Lecompte's procedure as all the conservative measures to wean off the ventilator failed. The baby was extubated on the third post-operative day and the post-operative period was uneventful.
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Affiliation(s)
- Santoshi Kurada
- Department of Anaesthesiology Critical Care and Pain Medicine, Sri Ramachandra Medical College and Research Centre, Chennai, Tamil Nadu, India
| | - Ranjith B Karthekeyan
- Department of Anaesthesiology Critical Care and Pain Medicine, Sri Ramachandra Medical College and Research Centre, Chennai, Tamil Nadu, India
| | - Mahesh Vakamudi
- Department of Anaesthesiology Critical Care and Pain Medicine, Sri Ramachandra Medical College and Research Centre, Chennai, Tamil Nadu, India
| | - Periyasamy Thangavelu
- Department of Anaesthesiology Critical Care and Pain Medicine, Sri Ramachandra Medical College and Research Centre, Chennai, Tamil Nadu, India
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Yildirimer L, Seifalian A. Tissue engineering. Plast Reconstr Surg 2015. [DOI: 10.1002/9781118655412.ch7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Kurnutala LN, Joshi M, Kamath H, Yarmush J. A surprising cause of wheezing in a morbidly obese patient: a case report. Int Med Case Rep J 2014; 7:143-5. [PMID: 25364277 PMCID: PMC4211902 DOI: 10.2147/imcrj.s69474] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
A typical patient with chronic obstructive pulmonary disease has small airway disease, which often responds to bronchodilators. If the patient is obese, he or she may be further compromised and not tolerate being in the supine position. We present a case of a patient with history of chronic obstructive pulmonary disease and obstructive sleep apnea with acute renal failure and urosepsis scheduled for an emergent debridement of Fournier's gangrene. In this patient, the fiberoptic intubation was performed in semi-Fowler's position, and tracheomalacia was observed.
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Affiliation(s)
- Lakshmi N Kurnutala
- Department of Anesthesiology, New York Methodist Hospital, Brooklyn, NY, USA
| | - Minal Joshi
- Department of Anesthesiology, New York Methodist Hospital, Brooklyn, NY, USA
| | - Hattiyangadi Kamath
- Department of Anesthesiology, New York Methodist Hospital, Brooklyn, NY, USA
| | - Joel Yarmush
- Department of Anesthesiology, New York Methodist Hospital, Brooklyn, NY, USA
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Larrosa F, Canalís E. Basal-cell adenoma of the subglottis: laryngotracheal resection with laryngotracheoplasty. Arch Bronconeumol 2013; 49:314-5. [PMID: 23497818 DOI: 10.1016/j.arbres.2013.01.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2012] [Revised: 01/17/2013] [Accepted: 01/24/2013] [Indexed: 11/20/2022]
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Cooper RM, Khan S. Extubation and Reintubation of the Difficult Airway. BENUMOF AND HAGBERG'S AIRWAY MANAGEMENT 2013. [PMCID: PMC7158180 DOI: 10.1016/b978-1-4377-2764-7.00050-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
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Gustafsson Y, Haag J, Jungebluth P, Lundin V, Lim ML, Baiguera S, Ajalloueian F, Del Gaudio C, Bianco A, Moll G, Sjöqvist S, Lemon G, Teixeira AI, Macchiarini P. Viability and proliferation of rat MSCs on adhesion protein-modified PET and PU scaffolds. Biomaterials 2012; 33:8094-103. [PMID: 22901964 DOI: 10.1016/j.biomaterials.2012.07.060] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2012] [Accepted: 07/28/2012] [Indexed: 12/14/2022]
Abstract
In 2011, the first in-man successful transplantation of a tissue engineered trachea-bronchial graft, using a synthetic POSS-PCU nanocomposite construct seeded with autologous stem cells, was performed. To further improve this technology, we investigated the feasibility of using polymers with a three dimensional structure more closely mimicking the morphology and size scale of native extracellular matrix (ECM) fibers. We therefore investigated the in vitro biocompatibility of electrospun polyethylene terephthalate (PET) and polyurethane (PU) scaffolds, and determined the effects on cell attachment by conditioning the fibers with adhesion proteins. Rat mesenchymal stromal cells (MSCs) were seeded on either PET or PU fiber-layered culture plates coated with laminin, collagen I, fibronectin, poly-D-lysine or gelatin. Cell density, proliferation, viability, morphology and mRNA expression were evaluated. MSC cultures on PET and PU resulted in similar cell densities and amounts of proliferating cells, with retained MSC phenotype compared to data obtained from tissue culture plate cultures. Coating the scaffolds with adhesion proteins did not increase cell density or cell proliferation. Our data suggest that both PET and PU mats, matching the dimensions of ECM fibers, are biomimetic scaffolds and, because of their high surface area-to-volume provided by the electrospinning procedure, makes them per se suitable for cell attachment and proliferation without any additional coating.
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Affiliation(s)
- Ylva Gustafsson
- Advanced Center for Translational Regenerative Medicine (ACTREM), Karolinska Institutet, Stockholm, Sweden
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Jungebluth P, Alici E, Baiguera S, Blomberg P, Bozóky B, Crowley C, Einarsson O, Gudbjartsson T, Le Guyader S, Henriksson G, Hermanson O, Juto JE, Leidner B, Lilja T, Liska J, Luedde T, Lundin V, Moll G, Roderburg C, Strömblad S, Sutlu T, Watz E, Seifalian A, Macchiarini P. Tracheobronchial transplantation with a stem-cell-seeded bioartificial nanocomposite: a proof-of-concept study. Lancet 2011; 378:1997-2004. [PMID: 22119609 DOI: 10.1016/s0140-6736(11)61715-7] [Citation(s) in RCA: 289] [Impact Index Per Article: 22.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
BACKGROUND Tracheal tumours can be surgically resected but most are an inoperable size at the time of diagnosis; therefore, new therapeutic options are needed. We report the clinical transplantation of the tracheobronchial airway with a stem-cell-seeded bioartificial nanocomposite. METHODS A 36-year-old male patient, previously treated with debulking surgery and radiation therapy, presented with recurrent primary cancer of the distal trachea and main bronchi. After complete tumour resection, the airway was replaced with a tailored bioartificial nanocomposite previously seeded with autologous bone-marrow mononuclear cells via a bioreactor for 36 h. Postoperative granulocyte colony-stimulating factor filgrastim (10 μg/kg) and epoetin beta (40,000 UI) were given over 14 days. We undertook flow cytometry, scanning electron microscopy, confocal microscopy epigenetics, multiplex, miRNA, and gene expression analyses. FINDINGS We noted an extracellular matrix-like coating and proliferating cells including a CD105+ subpopulation in the scaffold after the reseeding and bioreactor process. There were no major complications, and the patient was asymptomatic and tumour free 5 months after transplantation. The bioartificial nanocomposite has patent anastomoses, lined with a vascularised neomucosa, and was partly covered by nearly healthy epithelium. Postoperatively, we detected a mobilisation of peripheral cells displaying increased mesenchymal stromal cell phenotype, and upregulation of epoetin receptors, antiapoptotic genes, and miR-34 and miR-449 biomarkers. These findings, together with increased levels of regenerative-associated plasma factors, strongly suggest stem-cell homing and cell-mediated wound repair, extracellular matrix remodelling, and neovascularisation of the graft. INTERPRETATION Tailor-made bioartificial scaffolds can be used to replace complex airway defects. The bioreactor reseeding process and pharmacological-induced site-specific and graft-specific regeneration and tissue protection are key factors for successful clinical outcome. FUNDING European Commission, Knut and Alice Wallenberg Foundation, Swedish Research Council, StratRegen, Vinnova Foundation, Radiumhemmet, Clinigene EU Network of Excellence, Swedish Cancer Society, Centre for Biosciences (The Live Cell imaging Unit), and UCL Business.
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Affiliation(s)
- Philipp Jungebluth
- Advanced Center for Translational Regenerative Medicine, Karolinska Institutet, Stockholm, Sweden; Division of Ear, Nose and Throat, Karolinska University Hospital, Stockholm, Sweden
| | - Evren Alici
- Cell and Gene Therapy Centre, Department of Medicine, Division of Hematology, Karolinska Institutet, Stockholm, Sweden
| | - Silvia Baiguera
- Advanced Center for Translational Regenerative Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Pontus Blomberg
- Vecura, Clinical Research Center, Karolinska University Hospital, Stockholm, Sweden
| | - Béla Bozóky
- Division of Pathology, Karolinska University Hospital, Stockholm, Sweden
| | - Claire Crowley
- Centre for Nanotechnology and Regenerative Medicine, University College London, London, UK
| | - Oskar Einarsson
- Department of Pulmonology, Landspitali University Hospital, Faculty of Medicine, University of Iceland, Reykjavik, Iceland
| | - Tomas Gudbjartsson
- Department of Cardiothoracic Surgery, Landspitali University Hospital, Faculty of Medicine, University of Iceland, Reykjavik, Iceland
| | - Sylvie Le Guyader
- Center for Biosciences, Department of Biosciences and Nutrition, Karolinska Institutet, Stockholm, Sweden
| | - Gert Henriksson
- Division of Ear, Nose and Throat, Karolinska University Hospital, Stockholm, Sweden
| | - Ola Hermanson
- Linnaeus Center in Developmental Biology for Regenerative Medicine, Department of Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Jan Erik Juto
- Division of Ear, Nose and Throat, Karolinska University Hospital, Stockholm, Sweden
| | - Bertil Leidner
- Department for Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden; Department of Radiology (Huddinge), Karolinska University Hospital, Stockholm, Sweden
| | - Tobias Lilja
- Linnaeus Center in Developmental Biology for Regenerative Medicine, Department of Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Jan Liska
- Department of Cardiothoracic Surgery and Anesthesiology, Karolinska University Hospital, Stockholm, Sweden
| | - Tom Luedde
- Department of Medicine 3, University Hospital RWTH Aachen, Aachen, Germany
| | - Vanessa Lundin
- Department of Cell and Molecular Biology, Karolinska Institutet, Stockholm, Sweden
| | - Guido Moll
- Departments of Medicine and Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden
| | | | - Staffan Strömblad
- Center for Biosciences, Department of Biosciences and Nutrition, Karolinska Institutet, Stockholm, Sweden
| | - Tolga Sutlu
- Cell and Gene Therapy Centre, Department of Medicine, Division of Hematology, Karolinska Institutet, Stockholm, Sweden
| | - Emma Watz
- Departments of Medicine and Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden; Department of Clinical Immunology and Transfusion Medicine, Karolinska University Hospital, Stockholm, Sweden
| | - Alexander Seifalian
- Centre for Nanotechnology and Regenerative Medicine, University College London, London, UK
| | - Paolo Macchiarini
- Advanced Center for Translational Regenerative Medicine, Karolinska Institutet, Stockholm, Sweden; European Airway Institute, Karolinska Institutet, Stockholm, Sweden; Division of Ear, Nose and Throat, Karolinska University Hospital, Stockholm, Sweden.
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Ferguson L, Vasani S, Sandhu G. The use of lesion localization needles in tracheal resections. Clin Otolaryngol 2011; 36:187. [PMID: 21518286 DOI: 10.1111/j.1749-4486.2011.02268.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Severe tracheobronchomalacia after prolonged intubation of multitrauma patient. Case Rep Surg 2011; 2011:627012. [PMID: 22606587 PMCID: PMC3350111 DOI: 10.1155/2011/627012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2011] [Accepted: 07/03/2011] [Indexed: 11/17/2022] Open
Abstract
Tracheobronchomalacia is a condition with significant morbidity with many etiologies including iatrogenic ones and should be considered in critically ill ventilated trauma patients. We present a case of a multitrauma patient who had difficulty weaning from the ventilator after prolonged intubation followed by tracheostomy tube placement. We describe her presentation, diagnosis, and management provide and as well a discussion of the condition.
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