A CASE OF TRACHEAL STENOSIS TREATMENT USING FLEXIBLE BRONCHOSCOPY AND A LARYNGEAL MASK

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  • 軟性気管支鏡およびラリンジアルマスクにて気管ステントを留置した1例

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In January 2008, a 79-year-old woman was seen due to difficulty breathing. On chest CT, thyroid cancer and a tracheal stenosis about 3-cm long located approximately 5 cm below the vocal cords were noted. Thyroid cancer surgery was not indicated. Nevertheless, tracheal stent placement was done. Midazolam was given, and a laryngeal mask was inserted with the patient breathing spontaneously. Subsequently, a flexible bronchoscope was inserted into the laryngeal mask. A guide wire was inserted once the tracheal narrowing was identified, the metallic stent was inserted intratracheally along the guide wire and then deployed. Tracheal stent placement using flexible bronchoscopy and a laryngeal mask is useful in patients whose general condition is poor and in whom the stenosis is located near the vocal cords.

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