PMC6010631_01
Initial endoscopic figure before balloon dilation.
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fig1
A 60 year old lady was diagnosed with trachea stenosis after intubation for 15 days after a car accident (Fig. 1.).
Set up of the procedure (red arrow indicates the light source of the rigid ENT scope).
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fig2
The position of the stenosis and tissue formation did not allow intubation with rigid bronchoscope or endotracheal tube and therefore for airway safety and equipment application (balloon visibility) it was decided to use a hybrid method that is used from the ear, nose and throat department (ENT) (Fig. 2, Fig. 3, Fig. 4, Fig. 5, Fig. 6.).
Patient intubated with a No 6. Tracheal tube (set up of the procedure).
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fig4
The position of the stenosis and tissue formation did not allow intubation with rigid bronchoscope or endotracheal tube and therefore for airway safety and equipment application (balloon visibility) it was decided to use a hybrid method that is used from the ear, nose and throat department (ENT) (Fig. 2, Fig. 3, Fig. 4, Fig. 5, Fig. 6.).
Rigid cameras.
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fig6
The position of the stenosis and tissue formation did not allow intubation with rigid bronchoscope or endotracheal tube and therefore for airway safety and equipment application (balloon visibility) it was decided to use a hybrid method that is used from the ear, nose and throat department (ENT) (Fig. 2, Fig. 3, Fig. 4, Fig. 5, Fig. 6.).
Balloon dilator system.
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Direct observation of the vocal cords was able with the rigid scope 12cm length and a balloon dilation system was used (Fig. 7.).
Vocal cords and balloon dilator.
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fig8
We performed this method three times until we had accomplished an acceptable result(Fig. 8, Fig. 9, Fig. 10.).
Trachea after balloon dilation.
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fig10
We performed this method three times until we had accomplished an acceptable result(Fig. 8, Fig. 9, Fig. 10.).
Mitomycin C.
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At the end of the procedure we used swab impregnated in mitomycin C in a round shape (Fig. 11, Fig. 12, Fig. 13, Fig. 14.).
Swab application on the right.
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fig13
At the end of the procedure we used swab impregnated in mitomycin C in a round shape (Fig. 11, Fig. 12, Fig. 13, Fig. 14.).
Evaluation after 2 months.
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fig15
We evaluated again the patient after two months and we did not perform again the procedure since the findings where the same(Fig. 15.).