By Atul C. Mehta, Prasoon Jain, Thomas Gildea
This booklet explores the non-interventional points of interventional pulmonology, concentrating on ailments of the vital airlines. because the box of bronchology and interventional pulmonology expands, more recent stipulations concerning the relevant airlines are being well-known with expanding frequency. present literature has often concerned about technical points of the subspecialty, yet this booklet illuminates what else interventional pulmonology has to supply the pulmonologist, together with prognosis and exchange healing ideas. Diseases of the crucial airlines: A medical Guide offers strategies for the diagnoses, administration and therapy of sufferers with interesting critical airway stipulations corresponding to: black bronchoscopy, tracheobronchomalacia, endobronchial tuberculosis, and tracheobronchopathia osteochondroplastica. In-depth chapters are written by way of foreign specialists and are up to date and entire experiences. this crucial new e-book will give a contribution considerably to the welfare of sufferers with lung illnesses of the important airlines.
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Additional resources for Diseases of the Central Airways: A Clinical Guide
Distortion, kinking, bending, or buckling of central airways as seen in post-pneumonectomy syndrome, sleeve resection, lung transplant, or massive pleural effusion is classiﬁed as type III stenosis. , are classiﬁed as type IV stenosis. Although no classiﬁcation can include every possible endoscopic ﬁndings encountered with diseases of central airways, it is a helpful 42 P. C. Mehta 1 Diseases of Central Airways: An Overview 43 b Fig. 38 Contrast-enhanced CT (a–c) showing smooth tracheal and bronchial wall thickening with calciﬁcation and airway narrowing in a patient with relapsing polychondritis.
Subglottic region is the principle site of benign strictures of airways due to the endotracheal intubation. Post-tracheostomy strictures occur either at stoma or at the site where the tip of tracheostomy tube impinges against airway wall. 5 cm of tracheal wall in longitudinal direction. Multiplanar reconstruction is more accurate in assessing the craniocaudal extent of benign stenosis and usually shows an hourglass conﬁguration  (Fig. 27). In some instances, CT shows a weblike stenosis of trachea or bronchi.
There should be a low threshold to perform CT in any patient suspected to have a central airway disease. Unfortunately, CT imaging may not be 26 Fig. 22 A chest radiograph demonstrating a signiﬁcant narrowing of tracheal air column (black arrow). Reprinted from Hayden . With the permission from Springer Science Fig. 23 Marked widening of tracheal air column due to the enlargement of trachea in a patient with Mounier–Kuhn syndrome P. C. Mehta 1 Diseases of Central Airways: An Overview 27 Fig.