TY - JOUR T1 - Two cases of benign tracheal stenosis successfully treated by minimally invasive endobronchial intervention JF - European Respiratory Journal JO - Eur Respir J VL - 38 IS - Suppl 55 SP - p3708 AU - Atis Buls AU - Peteris Juris Lejnieks AU - Ilga Ronis Y1 - 2011/09/01 UR - http://erj.ersjournals.com/content/38/Suppl_55/p3708.abstract N2 - Case no. 1: In Oct. 2008 a 71 y.old lady underwent thyroidectomy. After the operation bilateral vocal cord paralysis appeared causing dyspnea. A tracheostomy tube was placed to ease breathing. In two weeks time vocal cord function came back, however attempt to remove tracheostomy tube was unsuccessful because of symptoms of tracheal obstruction. We met the patient in June 2009. FBS disclosed a mass of granulation tissue obstructing trachea. Microbiologic examination of bronchial aspirate showed MRSA infection. By using rigid bronchoscopy granulation tissue was removed and 15-mm straight silicone stent was placed in the narroved segment of trachea and antibacterial treatment was prescribed. A couple of days later the stent migrated, so it had to be repositioned and sutured to the anterior wall of trachea by transcutaneous transtracheal suture. The stent was removed two months later. There are no signs of tracheal stenosis observed during the fallowing 2 years.Case no. 2: A 76 y.o. lady was operated on in Febr. 2009 for perforative colitis. Postoperatively she had tracheostomy placed with ventilatory support for a week. Soon after discharge from hospital the lady noticed cough and progressive dyspnea. She was admitted to our hospital in Sept.2009. On FBS we found granulation tissue mass obstructing trachea. There was Ps. aeruginosa grown in the bronchial aspirate. Granulations were removed by using rigid bronchoscope and endobronchial argon plasma coagulation and the patient received antipseudomonal antibiotics. The procedure had to be repeated in 3 weeks time. Afterwards our patient recovered well and there has not been recurrence of tracheal stenosis observed. ER -