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Sapalidis K, Laskou S, Amaniti A, Koulouris C, Giannakidis D, Mantalovas S, Karapantzos I, Karapantzou C, Zarogoulidis P, Arapakis I, Huang H, Bai C, Kougioumtzi I, Katsikogiannis N, Sarika E, Konstantinou F, Hohenforst-Schmidt W, Kesisoglou I. New hybrid method for trachea dilatation with rigid and flexible tools. Respir Med Case Rep 2018; 24:65-73. [PMID: 29977763 PMCID: PMC6010631 DOI: 10.1016/j.rmcr.2018.04.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2018] [Revised: 04/18/2018] [Accepted: 04/18/2018] [Indexed: 11/29/2022] Open
Abstract
Trachea stenosis is observed either in benign or malignant situations. In cancer malignancy a tumor might obstruct the central airway in three different ways. Again granuloma tissue is usually observed after intubation or stent placement in order to manage a benign malformation of the trachea. In any case there are several tools and techniques that can be used either with surgery or endoscopically to manage such situation. We will focus on a hybrid technique in order to ventilate the patient while performing endoscopic management of granuloma tissue.
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Affiliation(s)
- Konstantinos Sapalidis
- 3rd Department of Surgery, ``AHEPA`` University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece
| | - Stella Laskou
- 3rd Department of Surgery, ``AHEPA`` University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece
| | - Aikaterini Amaniti
- 3rd Department of Surgery, ``AHEPA`` University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece
| | - Charilaos Koulouris
- 3rd Department of Surgery, ``AHEPA`` University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece
| | - Dimitrios Giannakidis
- 3rd Department of Surgery, ``AHEPA`` University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece
| | - Stylianos Mantalovas
- 3rd Department of Surgery, ``AHEPA`` University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece
| | - Ilias Karapantzos
- Ear, Nose and Throat Department, ``Saint Luke`` Private Hospital, Thessaloniki, Panorama, Greece
| | - Chrysa Karapantzou
- Ear, Nose and Throat Department, ``Saint Luke`` Private Hospital, Thessaloniki, Panorama, Greece
| | - Paul Zarogoulidis
- Pulmonary Department-Oncology Unit, ``Theageneio`` Cancer Hospital, Thessaloniki, Greece
| | - Iakovos Arapakis
- Ear, Nose and Throat Department, ``Saint Luke`` Private Hospital, Thessaloniki, Panorama, Greece
| | - Haidong Huang
- Department of Respiratory and Critical Care Medicine, Changhai Hospital, Second Military Medical University, Shanghai, China
| | - Chong Bai
- Department of Respiratory and Critical Care Medicine, Changhai Hospital, Second Military Medical University, Shanghai, China
| | - Ioanna Kougioumtzi
- Surgery Department (NHS), University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece
| | - Nikolaos Katsikogiannis
- Surgery Department (NHS), University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece
| | - Eirini Sarika
- Surgery Department (NHS), University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece
| | - Fotis Konstantinou
- Thoracic Surgery Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece
| | - Wolfgang Hohenforst-Schmidt
- Sana Clinic Group Franken, Department of Cardiology, "Hof" Clinics, University of Erlangen, Hof, Germany.,Sana Clinic Group Franken, Department of Pulmonology, "Hof" Clinics, University of Erlangen, Hof, Germany.,Sana Clinic Group Franken, Department of Intensive Care, "Hof" Clinics, University of Erlangen, Hof, Germany.,Sana Clinic Group Franken, Department of Nephrology, "Hof" Clinics, University of Erlangen, Hof, Germany
| | - Isaak Kesisoglou
- 3rd Department of Surgery, ``AHEPA`` University Hospital, Aristotle University of Thessaloniki, Medical School, Thessaloniki, Greece
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Huang H, Chen C, Bedi H, Bai C, Li Q, Hohenforst-Schmidt W, Zarogoulidis P. Innovative use of a Montgomery cannula in the bronchoscopic management of tracheal stenosis and failed tracheostomy decannulation. Respir Med Case Rep 2017; 22:130-132. [PMID: 28794964 PMCID: PMC5547240 DOI: 10.1016/j.rmcr.2017.07.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2017] [Revised: 07/27/2017] [Accepted: 07/30/2017] [Indexed: 12/04/2022] Open
Abstract
Background Endoprosthesis are being used in the everyday clinical practice either as a permanent solution or transient. They can be used in both benign and malignant situations. Case presentation We report a case in which a temporary Montgomery cannula is used in conjunction with therapeutic bronchoscopy to manage a patient with failed tracheostomy decannulation secondary to a distal complex tracheal stenosis. Conclusions This innovative use of the Montgomery cannula allowed for successful management of the patient's tracheal stenosis and subsequent tracheostomy tube decannulation.
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Affiliation(s)
- Haidong Huang
- Department of Respiratory and Critical Care Medicine, Changhai Hospital, Second Military Medical University, Shanghai, China
| | - Changming Chen
- Department of Respiratory and Critical Care Medicine, Changhai Hospital, Second Military Medical University, Shanghai, China
| | - Harmeet Bedi
- Division of Pulmonary & Critical Care Medicine, Stanford University School of Medicine, Stanford, CA, USA
| | - Chong Bai
- Department of Respiratory and Critical Care Medicine, Changhai Hospital, Second Military Medical University, Shanghai, China
- Corresponding author. Department of Respiratory and Critical Care Medicine, Changhai Hospital, Second Military Medical University, No. 168, Changhai Road, Shanghai, 200433, China.Department of Respiratory and Critical Care MedicineChanghai HospitalSecond Military Medical UniversityNo. 168, Changhai RoadShanghai200433China
| | - Qiang Li
- Department of Respiratory Medicine, Shanghai General Hospital, Shanghai Jiaotong University, Shanghai, China
| | - Wolfgang Hohenforst-Schmidt
- Sana Clinic Group Franken, Department of Cardiology/Pulmonology/Intensive Care/Nephrology, “Hof” Clinics, University of Erlangen, Hof, Germany
| | - Paul Zarogoulidis
- Pulmonary Department, “G. Papanikolaou” General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
- Corresponding author.
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