Training in Interventional Pulmonology

2016 ◽  
pp. 678-701
2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Gerhard Johan Klopper ◽  
Oladele Vincent Adeniyi ◽  
Kate Stephenson

Abstract Background The larynx has multiple composite functions which include phonation, airway protection, and sensory control of respiration. Stenosis of the larynx and trachea were first recorded by O’Dwyer in 1885 and by Colles in 1886, respectively. Initially, the aetiology of laryngotracheal stenosis was predominantly infective. Currently, the leading cause is iatrogenic injury to the laryngotracheal complex secondary to prolonged ventilation in an intensive care unit. Main body Laryngotracheal stenosis is a complex and diverse disease. It poses a major challenge to the surgeon and can present as an airway emergency. Management typically demands the combined involvement of various disciplines including otorhinolaryngology, cardiothoracic surgery, anaesthesiology, interventional pulmonology, and radiology. Both the disease and its management can impact upon respiration, voice, and swallowing. The incidence of iatrogenic laryngotracheal stenosis has reflected the evolution of airway and intensive care whilst airway surgery has advanced concurrently over the past century. Correction of laryngotracheal stenosis requires expansion of the airway lumen; this is achieved by either endoscopic or open surgery. We review the relevant basic science, aetiopathogenesis, diagnosis, management, and treatment outcomes of LTS. Conclusion The choice of surgical procedure in the management of laryngotracheal stenosis is often dictated by the individual anatomy and function of the larynx and trachea, together with patient factors and available facilities. Regardless of how the surgeon chooses to approach these lesions, prevention of iatrogenic laryngotracheal damage remains of primary importance.


2011 ◽  
Vol 22 ◽  
pp. S28
Author(s):  
Ana Milagrosa Escribano Duepas ◽  
Carmen Manzano Badva ◽  
Olga Murillo Martinez ◽  
Luis Manuel Entrenas Costa ◽  
Francisco Javier Lopez Pujol

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Erik Folch ◽  
Abhinav Mittal ◽  
Catherine Oberg

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Axel Semmelmann ◽  
Torsten Loop

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