CPAP after endoscopic procedures as add-on therapy for the treatment of tracheal stenosis: a case series

  • Adriano Gesuele First Level Specializing Master in Physiotherapy and Respiratory Rehabilitation, University of Milan, Italy.
  • Simone Gambazza | simone.gambazza@policlinico.mi.it UOC Direzione delle Professioni Sanitarie, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy. https://orcid.org/0000-0002-6225-2989
  • Marta Lazzeri Department of Cardiothoracic and Vascular Surgery, ASST Grande Ospedale Metropolitano Niguarda, Milan,, Italy.
  • Serena Conforti Department of Cardiothoracic and Vascular Surgery, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.

Abstract

Tracheal stenosis represents a possible complication in intubated or tracheotomised patients. Tracheal resection is currently the gold standard for the treatment of complex stenosis while granulomas and simple stenosis (e.g., web-like) are often treated by endoscopic procedures, which do not consistently give satisfactory long-term results, due to frequent relapses. Administering continuous positive airway pressure (CPAP) after endoscopic procedures might represent a new add-on option for the treatment of this complication. In this case series are presented two patients with tracheal stenosis showed after the removal of tracheostomy tube, both treated with CPAP. The results were straightforward: CPAP treatment helped to keep stable the tracheal lumen, without adverse effects. No further endoscopic dilations were necessary thereafter, with a likely positive impact on patients’ quality of life and on health expenditure.

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Published
2019-10-30
Info
Issue
Section
Physiotherapy - Case Reports
Keywords:
Continuous positive airway pressure, tracheal stenosis, endoscopy
Statistics
  • Abstract views: 393

  • PDF: 311
How to Cite
Gesuele, A., Gambazza, S., Lazzeri, M., & Conforti, S. (2019). CPAP after endoscopic procedures as add-on therapy for the treatment of tracheal stenosis: a case series. Monaldi Archives for Chest Disease, 89(3). https://doi.org/10.4081/monaldi.2019.1121