Abstract:
:Tracheobronchomalacia is an uncommon acquired disorder of the central airways. Common symptoms include dyspnea, constant coughing, inability to raise secretions, and recurrent respiratory infections. Evaluation includes an inspiratory-expiratory chest CT (dynamic CT), an awake functional bronchoscopy, and pulmonary function studies. Patients with significant associated symptoms and severe collapse on CT and bronchoscopy are offered membranous wall plication. Tracheobronchoplasty is performed through a right thoracotomy. The posterior airway is exposed after the azygous vein is ligated. Patients report generally good results with improvement of their symptoms. Quality of life is usually improved, whereas pulmonary function tests usually are not improved.
journal_name
Thorac Surg Clinjournal_title
Thoracic surgery clinicsauthors
Wright CDdoi
10.1016/j.thorsurg.2018.01.006subject
Has Abstractpub_date
2018-05-01 00:00:00pages
163-166issue
2eissn
1547-4127issn
1558-5069pii
S1547-4127(18)30006-9journal_volume
28pub_type
杂志文章,评审abstract::Patients express risk aversion toward surgery, particularly if surgery can lead to lifelong debility and loss of independence. When faced with a guarantee of progressive lung cancer and no alternatives for cure, however, patients are willing to take extremely high risks of postoperative complications and surgery-relat...
journal_title:Thoracic surgery clinics
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journal_title:Thoracic surgery clinics
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journal_title:Thoracic surgery clinics
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journal_title:Thoracic surgery clinics
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journal_title:Thoracic surgery clinics
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journal_title:Thoracic surgery clinics
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journal_title:Thoracic surgery clinics
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journal_title:Thoracic surgery clinics
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journal_title:Thoracic surgery clinics
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journal_title:Thoracic surgery clinics
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journal_title:Thoracic surgery clinics
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journal_title:Thoracic surgery clinics
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journal_title:Thoracic surgery clinics
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