Tuberc Respir Dis > Volume 53(4); 2002 > Article
Tuberculosis and Respiratory Diseases 2002;53(4):450-456.
DOI:    Published online October 1, 2002.
A Case of Idiopathic Tracheal Stenosis Treated with Tracheal Resection After a Retrievable Stent Insertion.
Hyoung No Lee, Hye Jin Cho, Jong Woo Lee, Seung Soo Shin, Yoon Jung Oh, Kwang Joo Park, Sung Chul Hwang, Ho Choi, Ki Bum Lee
1Department of Pulmonology, Ajou University School of Medicine, Suwon, Korea.
2Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine, Suwon, Korea.
3Department of Pathology, Ajou University School of Medicine, Suwon, Korea.
Idiopathic tracheal stenosis is a type of benign stenosis that possesses specific characteristics but is of unknown origin. It is a rare disease characterized by extensive fibrosis of a portion of trachea, and predominantly found in women. The lesion presents as circumferential fibrotic stenosis that usually occurs at upper trachea and the subglottic larynx, but lower trachea may also be involved. Diagnosis is made from the clinical characteristics accompanied by compatible pathologic features and by exclusion of other etiologies. Conservative management such as laser resection, dilatation and stent insertion can be tried initially, but surgical resection is recommended for definitive treatment due to frequent restenosis and maintenance problems of conservative approach. We report a case of idiopathic tracheal stenosis treated with tracheal resection and anastomosis followed by insertion of a retrievable stent for immediate relief of airway obstruction.
Key Words: Idiopathic tracheal stenosis, stent, trachea, surgery

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