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Scholars Journal of Applied Medical Sciences | Volume-5 | Issue-06
Treatment of Tracheal stenosis by rigid bronchoscopic dilatation and topical Mitomycin – C application
Akshay Suratwala, Rupa P. Parikh, Anuj Shah, Dhaval Patel
Published: June 30, 2017 | 149 157
DOI: 10.36347/sjams.2017.v05i06.007
Pages: 2064-2069
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Abstract
Tracheal stenosis is a known complication of prolonged intubation. It is difficult to treat and traditional surgical approach is associated with significant risk and complications. Recurrent stenosis due to granulation tissue necessitates repeated procedures. We have described cases of short web-like tracheal stenosis (concentric membranous stenosis less than 1 cm in length without associated cartilage damage) managed by a minimally invasive thoracic endoscopic approach. Topical application of Mitomycin C, a potent fibroblast inhibitor reduces granulation tissue formation and prevents recurrence.