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Right arrow Trachea and bronchi

Ann Thorac Surg 2006;81:1480-1482
© 2006 The Society of Thoracic Surgeons

Case report

Tracheobronchopathia Osteoplastica: Cause of Difficult Tracheal Intubation

Ahmad Tadjeddein, MD, Zhamak Khorgami, MD, Hamed Akhlaghi, MD *

Thoracic Surgery Ward, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

Accepted for publication April 5, 2005.

* Address correspondence to Dr Akhlaghi, Thoracic Surgery Ward, Shariaty Hospital, No. 45 Sahar Ln, Shirkhorshidi Ln, Naderi Shomali St, Qazvin, 34137-77578 Tehran, Iran (Email: hamed.akhlaghi{at}gmail.com).

Tracheobronchopathia osteochondroplastica is a rare benign disorder affecting the trachea and the bronchi. We report a case presenting as difficulty during tracheal intubation. Chest roentgenogram revealed nothing before surgery. Findings on computed tomographic imaging scans show calcified nodular densities protruding into the tracheal lumen, with an abnormally irregular tracheal morphology and decreased lateral diameter. The fiber optic bronchoscopy, which was unable to pass more than 4 to 5 cm, showed enormous prominent protrusion with significant narrowing of the tracheal lumen. The diagnosis was confirmed by virtual bronchoscopy, which showed a tracheal narrowing with a beaded appearance and an irregular border that extended into the trachea and main bronchi.






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