MANAGEMENT OF MALIGNANT CENTRAL AIRWAY OBSTRUCTION | Dr. Nagarjuna V Maturu | Yashoda Hospitals скачать в хорошем качестве

MANAGEMENT OF MALIGNANT CENTRAL AIRWAY OBSTRUCTION | Dr. Nagarjuna V Maturu | Yashoda Hospitals

48 years old homemaker, with no addictions presented to us with worsening dysphagia, cough, and shortness of breath over 2 months and noisy breathing for 20 days. She had a history of carcinoma esophagus upper 1/3rd for which she had received chemotherapy and radiotherapy in 2021. On evaluation she had stridor at rest and CT scan showed a soft tissue density in the cervical esophagus with anterior extension into the trachea. Diagnostic video bronchoscopy revealed a broad-based mass lesion arising from the posterior wall in the mid trachea causing more than 70% luminal narrowing Grade 3 MCAO. Under general anesthesia, intubation was performed using a 12mm rigid bronchoscope. The tumor was cored using the rigid barrel and was extracted using the 1.9mm cryo probe. The residual growth was removed by cryo debulking and electrocautery ablation of the tumor base was performed. Near complete luminal patency was achieved. Patient was extubated on table. Post procedure patient was relieved of the stridor and breathing difficulty and was discharged on the same day. She is now receiving palliative radiotherapy and remains free of dyspnea. She is planned for close follow up and a tracheal stent placement if tumor recurs.. Dr.V.Nagarjuna Maturu Department of Interventional Pulmonology, Yashoda Hospitals, Hitec city.