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
Susana Ferreira1,5,
, Carla Nogueira1,5, Ana Oliveira2,5, Sofia Neves2,5, José Almeida3,5, João Moura e Sá4,5, Parente Bárbara5
Corresponding author
susalvesferreira@gmail.com
Correspondência: Rua Conceição Fernandes – Vilar de Andorinho, 4430–502 Vila Nova de Gaia, Portugal, Telefone: 00351912767155.
Correspondência: Rua Conceição Fernandes – Vilar de Andorinho, 4430–502 Vila Nova de Gaia, Portugal, Telefone: 00351912767155.
1 Interna Complementar de Pneumologia/Pulmonology resident
2 Assistente Hospitalar de Pneumologia/Pulmonology resident
3 Assistente Hospitalar Graduado de Pneumologia/Specialist, Pulmonology consultant
4 Chefe de Serviço de Pneumologia/Head, Pulmonology unit
5 Centro Hospitalar de Vila Nova de Gaia / Espinho EPE – Porto
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"clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec160610" "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" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A estenose traqueal surge na sequência de agressões à mucosa traqueal (isquémicas, traumáticas ou outras). 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="spar0010" class="elsevierStyleSimplePara elsevierViewall">Os autores apresentam dois casos clínicos de doentes com estenose traqueal como consequência de entubação 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>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Tracheal stenosis follows any injury to the airway mucosa, such as ischaemic, traumatic and other injuries.</p><p id="spar0020" 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="spar0120" class="elsevierStyleSimplePara elsevierViewall">The authors present two cases of successful treatment of a tracheal stenosis after tracheal injury from prolonged oro-tracheal intubation / tracheostomy following dilatation with rigid broncoscope and laser therapy, associated with topical application of mitomycin C as an adjuvant treatment.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:32 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A prospective study of laryngotracheal sequelae in longterm intubation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "R.E. 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ISSN: 21735115Original language: Portuguese
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