Category Archives: Airway Function

Deliberations of Airway Stabilization With Silicone Stents for Treating Adult Tracheobronchomalacia

There is a need for a higher clinical suspicion and a standardized approach to objectively evaluate for TBM in the patient with dyspnea refractory to traditional therapies. Therapeutic airway stenting is often considered, but evidence for the efficacy of this approach has not been adequately characterized. In this largest prospective study to date, we found that stenting produced statistically significant and clinically important improvement in … Continue reading

Outcomes of Airway Stabilization With Silicone Stents for Treating Adult Tracheobronchomalacia

Of 75 patients referred for assessment of TBM during the study period, 58 had severe TBM and were able to undergo therapeutic rigid bronchoscopy under general anesthesia. The patients included in this study were on average 69 years old (range, 39 to 91 years), and 34 patients (59%) were men. Among all patients, 33 patients had COPD (57%; median FEVb 1.07 L); 13 patients (22%) had … Continue reading

Investigation about Airway Stabilization With Silicone Stents for Treating Adult Tracheobronchomalacia

The institutional review board of Beth Israel Deaconess Medical Center approved the protocol and patients gave written informed consent. We conducted a prospective, observational study from January 2002 to September 2006 in all patients referred to our Complex Airway Center for the evaluation of respiratory symptoms presumed to be caused by TBM. All patients who underwent central airway stenting (tracheal, main-stem bronchus, or both) for … Continue reading

My Canadian Pharmacy: Airway Stabilization With Silicone Stents for Treating Adult Tracheobronchomalacia

Tracheobronchomalacia (TBM) is an abnormal collapse of the tracheal and bronchial walls. It is characterized by flaccidity of the supporting tracheal and bronchial structures and a significant reduction of airway diameter on expiration seen in the trachea and/or in the mainstem bronchi. The prevalence of TBM in adults is unknown. The incidence may be as high as 23% among patients with COPD undergoing bronchoscopy, and … Continue reading