Tracheal stenosis treatment in Turkey

Tracheal stenosis treatment

The best treatment methods for tracheal stenosis in Turkey. Most of the time, this stenosis is formed due to pressure from the artificial breathing tube after a long stay in the intensive care unit.

tracheal stenosis (windpipe)

Tracheal stenosis refers to an abnormal narrowing of the windpipe that limits your ability to breathe normally. Tracheal stenosis may also be referred to as subglottic stenosis. The subglottic is the narrowest part of the airway, more often the stenosis occurs at this level of the airway.

Causes of tracheal stenosis

Tracheal stenosis most commonly occurs as a result of injury or disease such as:

  • Throat or chest injury.
  • Infections (viral or bacterial), including tuberculosis.
  • Autoimmune disorders such as sarcoidosis, papilloma, granulomatosis and amyloidosis.
  • Benign and malignant tumors.
  • Radiation therapy to the neck or chest.

Symptoms of tracheal stenosis

In congenital tracheal stenosis, mild stenosis can often be interpreted as asthma or recurrent bronchitis. In mild tracheal stenosis, symptoms may not appear until late childhood or early adolescence when they manifest as difficulty breathing with exercise. In more severe cases of congenital tracheal stenosis, you may notice the following symptoms:

  • stridor (high-pitched breathing sound).
  • Cyanosis of the skin, with noticeably blue lips.
  • A whistling sound while inhaling.
  • Exhausted shortness of breath (dyspnea).

In other cases of acquired tracheal stenosis, symptoms may not appear for several weeks after the injury. The first common symptom is difficulty breathing. Like congenital tracheal stenosis, you may notice stridor, wheezing, or shortness of breath.

Some types of tracheal stenosis can only be treated surgically

Methods for diagnosing tracheal stenosis

Several testing methods can be used to help your doctor determine whether or not you have tracheal stenosis. These tests are useful in finding and diagnosing Other bronchial diseases. It is considered bronchoscopy It is the gold standard for diagnosing tracheal stenosis because your doctor will be able to directly visualize the shape of your trachea.

However, there are some risks associated with this method because the use of the endoscope will further obstruct the airway, making it more difficult to maintain oxygen levels. Therefore, you should discuss the risk factors that you may be exposed to with your doctor before performing the endoscopy.

Other methods your doctor may use are X-rays, CT scans, ultrasounds, MRIs, and lung function testing.

X ray

Standard X-rays are good at identifying structure, air columns, injuries, and other raw data. Other, more complex X-ray machines can be used to better determine the diagnosis; But X-ray diagnosis leads to much more radiation exposure than other methods.

Computed tomography (CT) scan

A CT scan can be a great technique for your doctor to determine whether or not you have tracheal stenosis. However, it encounters some difficulties in identifying the soft tissues that cause tracheal stenosis. Some techniques are used in such a way as to create a “virtual endoscopy” to reduce the need to undergo a bronchoscopy. However, a CT scan isn't a great way to diagnose less severe degrees of stenosis.

Ultrasound

Ultrasound can be useful in determining the amount of air space in the trachea. This allows your doctor to determine if more testing is needed. However, due to the amount of cartilage around the trachea, the accuracy of the test can be questioned due to shadow effects caused by the reflection of sound waves off the cartilage. This makes it possible for only physicians with high skill levels to make a diagnosis using this method.

MRI scans

An MRI scan is also a great alternative way to help diagnose tracheal stenosis, in both adults and children, and is the ideal way to make this diagnosis. The main disadvantage of an MRI is the length of time the procedure takes and the confusion that can occur from normal breathing during the imaging. Techniques are constantly being developed to improve the use of this method in diagnosing tracheal stenosis.

Lung function test (SFT)

Pulmonary function testing can be done at some doctors' offices, or if they aren't available, you will be sent to a pulmonology lab. This test can be used to determine how much your narrowing is obstructing your breathing. This will be helpful in discussions about treatment options with your doctor.

lung function test

Tracheal stenosis treatment in Turkey

Your otolaryngologist will develop a treatment plan based on the results of your evaluation. Treatment options, some of which are done using minimally invasive techniques, include:

Laser surgery, which can remove scar tissue, if that's the cause of the stenosis. This provides short-term relief but is usually not a long-term solution as there are some Studies Which it considers one of the promising treatment plans.

Tracheal stenosis treated with an airway stent, called a tracheobronchial stent, in which a mesh tube is placed in the airway that keeps it open.

Tracheostomy, or tracheal dilation, in which a small balloon or dilator is used to widen the airway. This also may not be a long-term solution.

Complete tracheostomy and reconstruction, which may provide long-term relief. The damaged part of the trachea is removed, and the remaining ends are tied.

Common Questions

There are several causes of tracheal stenosis such as injury or injury to the throat or chest, infections (viral or bacterial), including tuberculosis, and radiation therapy to the neck or chest.

Shortness of breath, wheezing while inhaling, bluish lips.

Endoscopy, X-ray, CT scan, ultrasound, MRI and pulmonary function testing.

Tracheal stenosis is treated in Turkey through the use of minimally invasive surgery such as laser, airway stenting or tracheal dilatation, or by resorting to open surgery such as excision and reconstruction of the trachea.

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