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Ann Thorac Surg 2005;79:1676-1681
© 2005 The Society of Thoracic Surgeons

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Original articles: General thoracic

Airway Obstruction Owing to Tracheopathia Osteoplastica: Treatment by Linear Tracheoplasty

Thoracic Surgical Division, the Surgical Services, Massachusetts General Hospital, and the Department of Surgery, Harvard Medical School, Boston, Massachusetts

Accepted for publication October 12, 2004.

^_* Address reprint requests to Dr Grillo, Massachusetts General Hospital, Blake 1570, 55 Fruit St, Boston, MA 02114 (E-mail: pguerriero{at}partners.org).

BACKGROUND: Tracheopathia osteoplastica is a rare disease that may involve the entire trachea and progress to critical airway obstruction. It is not dilatable and does not respond to laser therapy or bronchoscopic curettage. Stents usually cannot be inserted.

METHODS: Lack of involvement of the membranous wall by the disease allows tracheal widening after complete linear tracheoplasty. Opening is preserved during healing by prolonged stenting with a T or T-Y silicone tube.

RESULTS: Stent removal after firm healing produced long-term correction of stenosis in 3 of 4 patients, examined up to 12 years.

CONCLUSIONS: Severe, symptomatic tracheal obstruction by tracheopathia osteoplastica is definitively surgically correctible.

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