Base de dados : MEDLINE
Pesquisa : C05.182.895 [Categoria DeCS]
Referências encontradas : 129 [refinar]
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[PMID]:29237524
[Au] Autor:Li L; Chen Q; Zhang F; Zhu SG; Hu CL; Wu AM
[Ad] Endereço:Department of Respiration, Jiangxi Children's Hospital, Nanchang 330000, China. nclilan@163.com.
[Ti] Título:[Characteristics of tidal breathing pulmonary function in children with tracheobronchomalacia].
[So] Source:Zhongguo Dang Dai Er Ke Za Zhi;19(12):1248-1251, 2017 Dec.
[Is] ISSN:1008-8830
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:OBJECTIVE: To investigate the characteristics of tidal breathing pulmonary function in children with tracheobronchomalacia (TBM). METHODS: In this study, 30 children who were diagnosed with TBM using electronic bronchoscopy were enrolled in the observation group; 30 healthy children were recruited in the normal control group. For individuals in each group, the assessment of tidal breath pulmonary function was performed at diagnosis and 3, 6, 9, and 12 months after diagnosis. RESULTS: There were no significant differences in tidal volume, inspiratory time, expiratory time, and inspiratory to expiratory ratio between the two groups (P>0.05). Compared with the control group, the observation group had a significantly higher respiratory rate and significantly lower ratio of time to peak tidal expiratory flow to total expiratory time (TPTEF/TE) and ratio of volume to peak tidal expiratory flow to total expiratory volume (VPTEF/VE). There was a time-dependent increase in TPTEF/TE and VPTEF/VE for TBM children from the time of initial diagnosis to 12 months after diagnosis. CONCLUSIONS: Tidal breathing pulmonary function has characteristic changes in children with TBM. Tidal breathing pulmonary function tends to be recovered with increased age in children with TBM.
[Mh] Termos MeSH primário: Pulmão/fisiopatologia
Respiração
Volume de Ventilação Pulmonar
Traqueobroncomalácia/fisiopatologia
[Mh] Termos MeSH secundário: Fatores Etários
Feminino
Seres Humanos
Lactente
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE


  2 / 129 MEDLINE  
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[PMID]:29465600
[Au] Autor:Ryu C; Boffa D; Bramley K; Pisani M; Puchalski J
[Ad] Endereço:Yale School of Medicine, Department of Internal Medicine, Section of Pulmonary, Critical Care, and Sleep Medicine.
[Ti] Título:A novel endobronchial approach to massive hemoptysis complicating silicone Y-stent placement for tracheobronchomalacia: A case report.
[So] Source:Medicine (Baltimore);97(8):e9980, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Airway stabilization for severe, symptomatic tracheobronchomalacia (TBM) may be accomplished by silicone Y-stent placement. Common complications of the Y-stent include mucus plugging and granulation tissue formation. PATIENT CONCERNS: We describe a rare case of massive hemoptysis originating from a silicone Y-stent placed for TBM. DIAGNOSES: An emergent bronchoscopy showed an actively bleeding, pulsatile vessel at the distal end of the left bronchial limb of the Y-stent. It was felt that the bleeding was caused by, or at least impacted by, the distal left bronchial limb of the Y-stent eroding into the airway wall. INTERVENTIONS: We hypothesized that placement of oxidized regenerated cellulose (ORC) would provide initial hemostasis, and the subsequent placement of a biocompatible surgical sealant would lead to definitive resolution. OUTCOMES: ORC provided sufficient hemostasis and the subsequent synthetic polymer reinforced the tissue for complete cessation of the bleed. LESSONS: The combined use of ORC and a biocompatible surgical sealant provided long-term management for life-threatening hemoptysis, and potentially morbid procedures such as embolization or surgery were avoided by advanced endobronchial therapy.
[Mh] Termos MeSH primário: Broncoscopia/métodos
Hemoptise/cirurgia
Hemostase Endoscópica/métodos
Stents/efeitos adversos
Traqueobroncomalácia/cirurgia
[Mh] Termos MeSH secundário: Idoso
Celulose Oxidada/administração & dosagem
Feminino
Hemoptise/etiologia
Hemostáticos/administração & dosagem
Seres Humanos
Implante de Prótese/instrumentação
Implante de Prótese/métodos
Silicones
Traqueobroncomalácia/complicações
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Cellulose, Oxidized); 0 (Hemostatics); 0 (Silicones)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180222
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009980


  3 / 129 MEDLINE  
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[PMID]:27568138
[Au] Autor:Ragalie WS; Mitchell ME
[Ad] Endereço:Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.
[Ti] Título:Advances in Surgical Treatment of Congenital Airway Disease.
[So] Source:Semin Thorac Cardiovasc Surg;28(1):62-8, 2016.
[Is] ISSN:1532-9488
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Tracheobronchomalacia (TBM) is frequently present in infants and children with congenital heart disease (CHD). Infants with CHD and TBM appear to do worse than those without TBM. The principle of operative intervention for TBM is to improve function of the airway and clinical status. When indicated, conventional surgical options include tracheostomy, aortopexy, tracheoplasty, and anterior tracheal suspension. There is no consensus on the optimal treatment of severe tracheobonchomalacia, which can be associated with a mortality rate as high as 80%. Congenital tracheal stenosis is also frequently associated with CHD (vascular rings, atrioventricular canal defects, and septal defects) and may require concomitant repair. Repair of tracheal stenosis is often associated with distal TBM. This article addresses new techniques that can be performed in corrective surgery for both TBM and congenital tracheal stenosis.
[Mh] Termos MeSH primário: Brônquios/cirurgia
Constrição Patológica/cirurgia
Procedimentos Cirúrgicos Torácicos
Traqueia/anormalidades
Traqueia/cirurgia
Traqueobroncomalácia/cirurgia
[Mh] Termos MeSH secundário: Brônquios/anormalidades
Brônquios/fisiopatologia
Constrição Patológica/diagnóstico
Constrição Patológica/mortalidade
Constrição Patológica/fisiopatologia
Difusão de Inovações
História do Século XX
História do Século XXI
Seres Humanos
Recuperação de Função Fisiológica
Índice de Gravidade de Doença
Procedimentos Cirúrgicos Torácicos/história
Procedimentos Cirúrgicos Torácicos/tendências
Traqueia/fisiopatologia
Traqueobroncomalácia/diagnóstico
Traqueobroncomalácia/mortalidade
Traqueobroncomalácia/fisiopatologia
Resultado do Tratamento
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1703
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160829
[St] Status:MEDLINE


  4 / 129 MEDLINE  
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[PMID]:29224761
[Au] Autor:Propst EJ; Zawawi F; Kirsch RE; Honjo O
[Ad] Endereço:Department of Otolaryngology-Head and Neck Surgery, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada. Electronic address: Evan.propst@utoronto.ca.
[Ti] Título:Direct tracheobronchopexy via left lateral thoracotomy for severe tracheobronchomalacia.
[So] Source:Int J Pediatr Otorhinolaryngol;103:32-35, 2017 Dec.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:An infant with pulmonary atresia/ventricular septal defect/major aortopulmonary collateral arteries underwent unifocalization, ventriculoseptal defect closure and placement of a right ventricle to pulmonary artery conduit via median sternotomy. Aortopexy and pulmonary arteriopexy via redo sternotomy were insufficient to allow weaning of continuous positive airway pressure and he required direct tracheobronchopexy via left lateral thoracotomy to alleviate posterior trachealis intrusion along the length of the trachea and left main bronchus. He also underwent laryngotracheoplasty with placement of a posterior costal cartilage graft for bilateral vocal cord paralysis. The patient was weaned from positive pressure and discharged in stable condition.
[Mh] Termos MeSH primário: Brônquios/cirurgia
Toracotomia/métodos
Traqueia/cirurgia
Traqueobroncomalácia/cirurgia
[Mh] Termos MeSH secundário: Broncoscopia
Circulação Colateral
Comunicação Interventricular/cirurgia
Seres Humanos
Lactente
Masculino
Artéria Pulmonar/cirurgia
Atresia Pulmonar/cirurgia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171226
[Lr] Data última revisão:
171226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE


  5 / 129 MEDLINE  
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[PMID]:28796542
[Au] Autor:Ciet P; Boiselle PM; Heidinger B; Andrinopoulou ER; O'Donnel C; Alsop DC; Litmanovich DE
[Ad] Endereço:1 Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA 02215.
[Ti] Título:Cine MRI of Tracheal Dynamics in Healthy Volunteers and Patients With Tracheobronchomalacia.
[So] Source:AJR Am J Roentgenol;209(4):757-761, 2017 Oct.
[Is] ISSN:1546-3141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Bronchoscopy and MDCT are routinely used to assess tracheobronchomalacia (TBM). Recently, dynamic MRI (cine MRI) has been proposed as a radiation-free alternative to MDCT. In this study, we tested cine MRI assessment of airway dynamics during various breathing conditions and compared cine MRI and MDCT measurements in healthy volunteers and patients with suspected TBM. CONCLUSION: Cine MRI was found to be a technically feasible alternative to MDCT for assessing central airway dynamics.
[Mh] Termos MeSH primário: Imagem Cinética por Ressonância Magnética
Tomografia Computadorizada por Raios X
Traqueia/fisiopatologia
Traqueobroncomalácia/diagnóstico por imagem
Traqueobroncomalácia/fisiopatologia
[Mh] Termos MeSH secundário: Idoso
Feminino
Voluntários Saudáveis
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170811
[St] Status:MEDLINE
[do] DOI:10.2214/AJR.17.17802


  6 / 129 MEDLINE  
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[PMID]:28592032
[Au] Autor:Wang JW; Jiang SH
[Ti] Título:[Tracheobronchomalacia and excessive dynamic airway collapse].
[So] Source:Zhonghua Jie He He Hu Xi Za Zhi;40(6):469-472, 2017 Jun 12.
[Is] ISSN:1001-0939
[Cp] País de publicação:China
[La] Idioma:chi
[Mh] Termos MeSH primário: Broncoscopia
Traqueia/patologia
Traqueobroncomalácia
[Mh] Termos MeSH secundário: Obstrução das Vias Respiratórias
Seres Humanos
Traqueobroncomalácia/diagnóstico
Traqueobroncomalácia/genética
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170912
[Lr] Data última revisão:
170912
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170609
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.1001-0939.2017.06.014


  7 / 129 MEDLINE  
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[PMID]:28549723
[Au] Autor:Biswas A; Jantz MA; Sriram PS; Mehta HJ
[Ad] Endereço:Division of Pulmonary and Critical Care Medicine, University of Florida, Gainesville, FL, United States. Electronic address: abiswas@ufl.edu.
[Ti] Título:Tracheobronchomalacia.
[So] Source:Dis Mon;63(10):287-302, 2017 Oct.
[Is] ISSN:1557-8194
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The term tracheobronchomalacia refers to excessively compliant and collapsible central airways leading to symptoms. Although seen as a coexisting condition with various other pulmonary condition, it may cause symptoms by itself. The condition is often misdiagnosed as asthma, bronchitis or just chronic cough due to a lack of specific pathognomonic history and clinical findings. The investigation revolves around different modes of imaging, lung function testing and usually confirmed by flexible bronchoscopy. The treatment widely varies based on the cause, with most cases treated conservatively with non-invasive ventilation. Some may require surgery or stent placement. In this article, we aim to discuss the pathophysiology behind this condition and recognize the common symptoms and causes of tracheobronchomalacia. The article will highlight the diagnostic steps as well as therapeutic interventions based on the specific cause.
[Mh] Termos MeSH primário: Brônquios/patologia
Traqueia/patologia
Traqueobroncomalácia
[Mh] Termos MeSH secundário: Broncoscopia
Seres Humanos
Traqueobroncomalácia/diagnóstico
Traqueobroncomalácia/etiologia
Traqueobroncomalácia/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170528
[St] Status:MEDLINE


  8 / 129 MEDLINE  
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[PMID]:28068652
[Au] Autor:Uyar M; Sanli M; Kervancioglu S; Taskin-Dogan B; Bakir K; Dikensoy O
[Ad] Endereço:Department of Pulmonary Medicine, Gaziantep University, Gaziantep, Turkey.
[Ti] Título:Tracheobronchomalacia as a Rare Cause of Chronic Dyspnea in Adults.
[So] Source:Med Princ Pract;26(2):179-181, 2017.
[Is] ISSN:1423-0151
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To emphasize the importance of a careful clinical evaluation to prevent unnecessary interventions and treatments. CLINICAL PRESENTATION AND INTERVENTION: A 76-year-old female patient had been diagnosed with asthma during previous admissions to different hospitals. She had also undergone fiberoptic bronchoscopy (FOB) on 2 occasions for evaluation of right middle lobe atelectasis observed on computed tomography. A repeated FOB revealed tracheobronchomalacia and nodular bronchial amyloidosis. A silicone Y stent was inserted, but the dyspnea increased. Excessive granulation tissue developed, and the patient died despite ventilatory support. CONCLUSION: The stenting technique used did not prevent the development of respiratory failure and death in this patient. Hence, a surgical procedure could be considered as an alternative to stenting in such cases.
[Mh] Termos MeSH primário: Dispneia/etiologia
Traqueobroncomalácia/complicações
Traqueobroncomalácia/diagnóstico
[Mh] Termos MeSH secundário: Idoso
Asma/diagnóstico
Broncoscopia
Doença Crônica
Diagnóstico Diferencial
Feminino
Seres Humanos
Tomografia Computadorizada por Raios X
Traqueobroncomalácia/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170110
[St] Status:MEDLINE
[do] DOI:10.1159/000455858


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[PMID]:28005835
[Au] Autor:Ozgul MA; Cetinkaya E; Cortuk M; Iliaz S; Tanriverdi E; Gul S; Ozgul G; Onaran H; Abbasli K; Dincer HE
[Ad] Endereço:*Department of Pulmonary Medicine, Yedikule Education and Research Hospital for Chest Diseases and Thoracic Surgery‡Department of Chest Disease, Koc University Faculty of Medicine§Department of Chest Diseases, Bagcilar Education and Research Hospital, Istanbul†Department of Chest Diseases, Karabuk University Faculty of Medicine, Karabuk∥Department of Chest Diseases, Merzifon Karamustafa Pasa State Hospital, Amasya, Turkey¶Department of Pulmonary and Critical Care, University of Minnesota, Minneapolis, MN.
[Ti] Título:Our Experience on Silicone Y-Stent for Severe COPD Complicated With Expiratory Central Airway Collapse.
[So] Source:J Bronchology Interv Pulmonol;24(2):104-109, 2017 Apr.
[Is] ISSN:1948-8270
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Expiratory central airway collapse (ECAC) is abnormal central airway narrowing during expiration. ECAC involves 2 different pathophysiological entities as tracheobronchomalacia and excessive dynamic airway collapse (EDAC). Although the exact cause is unknown, chronic obstructive pulmonary disease (COPD) is frequently accompanied by ECAC. Although there are various publications on the relationship between COPD and ECAC, there are very few data for stent placement in patients with tracheobronchomalacia accompanied severe COPD. We share our results for stenting in ECAC among patients with severe COPD. METHODS: The data in this case series were collected retrospectively. The ECAC diagnosis was made during flexible bronchoscopy with severe COPD. Silicone Y-stents were placed via rigid bronchoscopy under general anesthesia. RESULTS: A total of 9 patients' (7 men) data were evaluated with an average age of 67±10.73 years. One patient experienced stent migration on the second day of stenting prompting stent removal. Another patient died 1 month after stenting. Consequently, we evaluated the follow-up data of remaining 7 patients. The changes in forced expiratory volume 1 was not significant for these 7 cases (P=0.51). The modified Medical Research Council (mMRC) score improvement was statistically significant (P=0.03). Functional status improvement was observed in 4 of 7 patients. Of the 7 patients, mean additional follow-up bronchoscopic interventions requirement was 2.2 times. CONCLUSIONS: Our study showed significant decrease in mMRC score with stenting for ECAC in severe COPD. For 2 patients, we experienced severe complications during short-term follow-up period after stenting. Additional follow-up bronchoscopic interventions were required.
[Mh] Termos MeSH primário: Doença Pulmonar Obstrutiva Crônica/cirurgia
Stents
Traqueobroncomalácia/cirurgia
[Mh] Termos MeSH secundário: Idoso
Broncopatias/fisiopatologia
Broncopatias/cirurgia
Broncoscopia/métodos
Remoção de Dispositivo
Feminino
Volume Expiratório Forçado
Seres Humanos
Masculino
Meia-Idade
Complicações Pós-Operatórias/epidemiologia
Falha de Prótese
Doença Pulmonar Obstrutiva Crônica/fisiopatologia
Estudos Retrospectivos
Índice de Gravidade de Doença
Silicones
Traqueobroncomalácia/fisiopatologia
Resultado do Tratamento
Capacidade Vital
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Silicones)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170602
[Lr] Data última revisão:
170602
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161223
[St] Status:MEDLINE
[do] DOI:10.1097/LBR.0000000000000346


  10 / 129 MEDLINE  
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[PMID]:27766409
[Au] Autor:Castellanos P; Mk M; Atallah I
[Ad] Endereço:Department of Otolaryngology, University of Alabama at Birmingham, Boshell Building 563, Birmingham, AL, 35233, USA. pcastellanos@uabmc.edu.
[Ti] Título:Laser tracheobronchoplasty: a novel technique for the treatment of symptomatic tracheobronchomalacia.
[So] Source:Eur Arch Otorhinolaryngol;274(3):1601-1607, 2017 Mar.
[Is] ISSN:1434-4726
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:The management of tracheobronchomalacia is a very challenging problem with few treatment options. This study aims to evaluate the outcomes of a novel surgical treatment for membranous tracheobronchomalacia. A consecutive series of patients with tracheobronchomalacia were treated with two to three holmium laser scarring surgeries of the hyperdynamic tracheal and bronchial walls for the purpose of stiffening them through fibrosis. Patients filled out a Dyspnea Index questionnaire before and after treatment. Ten patients were treated for their tracheobronchomalacia with a mean age of 54 years. Symptoms included severe dyspnea, dry cough, recurrent pulmonary infections, and respiratory failure. Fifty percent of patients presented with wheezing refractory to traditional treatment. Tracheobronchomalacia was associated with gastroesophageal reflux disease (n = 8), obstructive sleep apnea (n = 5), and tracheal stenosis (n = 3). Only 50 % of patients presented with morbid obesity. All cases showed significant improvement of their respiratory symptoms with a mean postoperative difference of 22.3 out of a maximum impairment score of 40 (P < 0.01) on the Dyspnea Index. The mean number of procedures was 2.3 per patient with the average laser energy delivered per procedure of 1600 J. Laser tracheobronchoplasty is a safe, easy to adopt, and effective technique for the treatment of membranous tracheobronchomalacia. It presents a simple alternative to the commonly used procedures like endoluminal stenting and open tracheobronchoplasty.
[Mh] Termos MeSH primário: Terapia a Laser
Procedimentos Cirúrgicos Reconstrutivos
Procedimentos Cirúrgicos Torácicos
Traqueobroncomalácia/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Estudos de Coortes
Tosse/etiologia
Dispneia/etiologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Estenose Traqueal/etiologia
Estenose Traqueal/cirurgia
Traqueobroncomalácia/complicações
Traqueobroncomalácia/diagnóstico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161022
[St] Status:MEDLINE
[do] DOI:10.1007/s00405-016-4349-y



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