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ID 52791
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Author
Ogawara, Yuya
Tachibana, Tomoyasu
Uchino, Kaori
Wani, Yoji
Nagahiro, Itaru
Matsuyama, Yuko
Abe, Iku
Fujisawa, Masayoshi
Abstract
We describe an extremely rare case of tracheal stenosis caused by unnoticed microscopic fiber-like foreign bodies. A 66-year-old woman complained of dyspnea with inspiratory stridor. Magnifying electroendoscopy and computed tomography revealed stenosis involving the entire circumference of the tracheal lumen. Tracheotomy and biopsy were performed. Histologically, the lesion showed chronic inflammation with a deposition of fiber-like foreign bodies. The patient had no history of trauma or inhalation injury, but had undergone intratracheal intubation on 4 occasions. The lesion was incised using semiconductor laser photoresection, and the postoperative course was good. To the best of our knowledge, this represents the first report in the English literature of tracheal stenosis caused by unnoticed foreign bodies. The origin of these fiber-like foreign bodies remains unclear but might be related to chronic inflammation resulting from intratracheal intubations.
Keywords
tracheal stenosis
fibrous foreign body
intubation
tracheotomy
laser
Amo Type
Case Report
Published Date
2014-08
Publication Title
Acta Medica Okayama
Volume
volume68
Issue
issue4
Publisher
Okayama University Medical School
Start Page
249
End Page
252
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
Copyright Holders
CopyrightⒸ 2014 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID
Web of Sience KeyUT