Successfully treated postbronchoplasty bronchial stenosis using short-interval repeated endobronchial balloon...

Area of Science:

• Pulmonary Medicine
• Interventional Pulmonology
• Surgical Oncology

Background:

• A 63-year-old male patient with a history of lung cancer underwent right upper lobe lobectomy and bronchoplasty.
• Post-operative complications included bronchial stenosis attributed to granuloma formation.

Observation:

• Initial endoscopic débridement and balloon dilation were performed for granuloma-induced stenosis.
• Cicatricial stenosis and atelectasis developed post-dilation, followed by restenosis despite repeated interventions.
• A stent placement attempt was unsuccessful.

Findings:

• Short-term, repeated balloon dilation under local anesthesia was administered every two weeks.
• The bronchial stenosis was successfully resolved after seven sessions of balloon dilation.
• This iterative dilation strategy demonstrated short-term efficacy in managing refractory cicatricial stenosis.

Implications:

• Repeated balloon dilation presents a potentially effective, minimally invasive strategy for managing complex post-surgical bronchial stenosis.
• This approach may offer an alternative to surgical revision or prolonged stenting in select cases.
• Further research is warranted to establish long-term outcomes and optimal protocols for repeated dilation in bronchial stenosis.