Caso Clínico/Case Report
Técnicas de dilatação broncoscópica e aplicação tópica de mitomicina C no tratamento da estenose traqueal pós-entubação – A propósito de dois casos clínicos
Bronchoscopic dilation techniques and topical application of mitomycin-C in the treatment of tracheal stenosis post intubation – two case reports
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"titulo" => "Técnicas de dilatação broncoscópica e aplicação tópica de mitomicina C no tratamento da estenose traqueal pós-entubação – A propósito de dois casos clínicos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "149" "paginaFinal" => "156" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Susana Ferreira, Carla Nogueira, Ana Oliveira, Sofia Neves, José Almeida, João Moura e Sá" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Susana" "apellidos" => "Ferreira" "email" => array:1 [ 0 => "susalvesferreira@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cr0005" ] ] ] 1 => array:3 [ "nombre" => "Carla" "apellidos" => "Nogueira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] ] ] 2 => array:3 [ "nombre" => "Ana" "apellidos" => "Oliveira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] ] ] 3 => array:3 [ "nombre" => "Sofia" "apellidos" => "Neves" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] ] ] 4 => array:3 [ "nombre" => "José" "apellidos" => "Almeida" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "af0015" ] ] ] 5 => array:3 [ "nombre" => "João Moura" "apellidos" => "e Sá" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "af0020" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Interna Complementar de Pneumologia/<span class="elsevierStyleItalic">Pulmonology resident</span>" "etiqueta" => "1" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Assistente Hospitalar de Pneumologia/<span class="elsevierStyleItalic">Pulmonology resident</span>" "etiqueta" => "2" "identificador" => "af0010" ] 2 => array:3 [ "entidad" => "Assistente Hospitalar Graduado de Pneumologia/<span class="elsevierStyleItalic">Specialist, Pulmonology consultant</span>" "etiqueta" => "3" "identificador" => "af0015" ] 3 => array:3 [ "entidad" => "Chefe de Serviço de Pneumologia/<span class="elsevierStyleItalic">Head, Pulmonology unit</span>" "etiqueta" => "4" "identificador" => "af0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cr0005" "etiqueta" => "*" "correspondencia" => "<span class="elsevierStyleBold">Correspondência:</span> Susana Alves Ferreira, Rua Conceição Fernandes – Vilar de Andorinho, 4430-502 Vila Nova de Gaia, Portugal, Telefone: 00351912767155" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Bronchoscopic dilation techniques and topical application of mitomycin-C in the treatment of tracheal stenosis post intubation – two case reports" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-03-31" "fechaAceptado" => "2009-06-08" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570087" "palabras" => array:4 [ 0 => "Mitomicina C" 1 => "estenoses traqueais" 2 => "broncoscopia" 3 => "terapêutica com <span class="elsevierStyleItalic">laser</span>" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570086" "palabras" => array:4 [ 0 => "Mitomycin C" 1 => "tracheal stenosis" 2 => "bronchoscopy" 3 => "laser therapy" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">A estenose traqueal surge na sequência de agressões à mucosa traqueal (isquémicas, traumáticas ou outras).</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">O tratamento das estenoses traqueais continua a representar um desafio em termos de técnicas endoscópicas e cirurgia, apesar de todos os recentes avanços nesta área. O processo de cicatrização e a reestenose são as principais causas de falência terapêutica.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">Os autores apresentam dois casos clínicos de doentes com estenose traqueal como consequência de entuba ção orotraqueal prolongada/traqueostomia, em que o tratamento foi bem sucedido com dilatação com broncoscopia rígida e <span class="elsevierStyleItalic">laser</span>, complementada por aplicação tópica de mitomicina C.</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (1): 149-156</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">Tracheal stenosis follows any injury to the airway mucosa, such as ischaemic, traumatic and other injuries.</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall">The treatment of tracheal stenosis remains a challenging problem despite all the advances in endoscopic and surgical techniques. Scar formation and reestenosis are the main causes of treatment failure.</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall">The authors present two cases of successful treatment of a tracheal stenosis after tracheal injury from pro longed oro-tracheal intubation / tracheostomy following dilatation with rigid broncoscope and laser therapy, associated with topical application of mitomycin C as an adjuvant treatment.</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (1): 149-156</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:32 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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Article information
ISSN: 08732159Original language: Portuguese
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