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Andrew C. Chang
Allan Pickens
Mark B. Orringer
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Ann Thorac Surg 2006;82:e43-e45
© 2006 The Society of Thoracic Surgeons


How To Do It

Awake Tracheobronchial Dilation Without the Use of Rigid Bronchoscopy

Andrew C. Chang, MD*, Allan Pickens, MD, Mark B. Orringer, MD

Section of Thoracic Surgery, Department of Surgery, University of Michigan Medical Center, Ann Arbor, Michigan

Accepted for publication August 1, 2006.

* Address correspondence to Dr Chang, University of Michigan, TC2120G/0344, 1500 East Medical Center Dr, Ann Arbor, MI 48109 (Email: andrwchg{at}umich.edu).

Benign tracheal strictures have been treated by repeated dilations using rigid bronchoscopy and general anesthesia. An alternative approach using conscious sedation, fluoroscopy, flexible bronchoscopy, and Savary-Gilliard esophageal dilators (Cook Endoscopy, Inc, Winston-Salem, NC) is reported. All patients undergoing dilation while awake had lesions due to inflammatory disease or lesions that were not amenable to resection. This method may be less traumatic than rigid bronchoscopy and can be accomplished on an outpatient basis without the use of general anesthesia.







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