Bronchoscopic Treatment in the Management of Benign Tracheal Stenosis: Choices for Simple and XXXX .

@entity1 @entity6184
BACKGROUND: Bronchoscopic treatment is 1 of the treatment choices for both palliative and definitive treatment of @entity6184 . There is no consensus on the management of these @entity1 , however, especially @entity1 having complex stenoses. The aim of the present study was to assess, in the largest group of @entity1 with complex stenoses yet reported, which types of @entity6184 are amenable to optimal management by bronchoscopic treatment. METHODS: The present study was a retrospective cohort study including 132 consecutive @entity1 with benign tracheal stenoses diagnosed between August 2005 and January 2013. The mean age of the study population was 52    18 years; 62 (47%) were @entity1 and 70 (53%) were @entity1 . Their lesions were classified as simple and complex stenoses. RESULTS: Simple stenoses (n  = 6) were treated with 12 rigid and flexible bronchoscopic procedures (mean of 2 per @entity1 ); 5 stents were placed. The total success rate was 100%. Among the 124 complex stenoses, 4 were treated directly with surgical intervention. In total, 481 rigid and 487 flexible bronchoscopic procedures were performed in these @entity1 . In this group, the success rate was 69.8%. CONCLUSIONS: From the present study, we propose that after accurate classification, interventional bronchoscopic management may have an important role in the treatment of @entity6184 . Bronchoscopic treatment should be considered as first-line therapy for simple stenoses, whereas complex stenoses need a multidisciplinary approach and often require surgical intervention. However, bronchoscopic treatment may be a valid conservative approach in the management of @entity1 with @entity6184 who are not eligible for operative treatment.
