e-ISSN 2147-2475

Hzl Arama




Trakeomalazili iki olgu [Respir Case Rep]
Respir Case Rep. 2016; 5(3): 220-223 | DOI: 10.5505/respircase.2016.00922

Trakeomalazili iki olgu

Ahmet Arsoy1, Hanifi Yldz2, Mehmet Hakan Bilgin3, Selami Ekin1
1Yznc Yl niversitesi Tp Fakltesi, Gs Hastalklar Ana Bilim Dal, Van
2zel Lokman Hekim Van Hastanesi, Gs Hastalklar Klinii,Van
3zel stanbul Hastanesi, Gs Hastalklar Klinii,Van

Trakeomalazi ynetimi zor olan ciddi bir hastalktr. Bu hastalarn muayene bulgular KOAH ve astm hastalarna benzerdir. Bu nedenle tanda yanlmaya sebep olabilir. Bu almada, inhaler tedavilerden fayda grmeyen iki trakeomalazi olgusunu sunmay amaladk. Hastalar bilgisayarl tomografi, bronkoskopi ve polisomnografi ile deerlendirildi. Birinci olgu 83 yanda erkek hasta idi. Elli paket-yl sigara anamnezi vard. Hasta ksrk ikayeti nedeni ile hastanelere bavurmu ve 10 yldr KOAH tansyla takip edilmiti. Polisomnografi ile uykuda obstrktif apneleri tespit edildi. Arttrlan pozitif basnca ramen apneleri dzelmedi. Bilgisayarl tomografi ile trakeada yasslama, trakeal halka ve kkrdaklarda bozulma tespit edildi. Trakeal stent taklan hastann birinci yln sonunda uyku apnesi yoktu. kinci olgu be yl boyunca kronik ksrk nedeniyle farkl inhaler tedaviler verilen 66 yanda bir erkek hastayd. Hastann ksr sert ve grltl idi ve uyku apnesi yoktu. Bronkoskopide expiryumda trakeann n ve arka duvarnn birbirine yapt grld. Trakeomalazisi hayat tehdit etmediinden takibe alnd.

Anahtar Kelimeler: Apne, trakeomalazi, ksrk, uyku

Two cases with tracheomalacia

Ahmet Arsoy1, Hanifi Yldz2, Mehmet Hakan Bilgin3, Selami Ekin1
1Department of Chest Diseases,Yznc Yl University Medical Faculty, Van,Turkey
2Deparment of Chest Diseases, Private Lokman Hekim Van Hospital, Van, Turkey
3Deparment of Chest Diseases, Private Istanbul Hospital, Van, Turkey

Tracheomalacia is a difficult to manage condition. The symptoms are similar to those of COPD and asthma patients. This may cause misdiagnosis. Herein, we present two tracheomalacia cases who received no benefit from inhaled treatment. The patients were examined via computed tomography (CT), bronchoscopy, and polysomnography. The first case was a 83-year-old male having a 50 package-year smoking history. He applied to the hospital due to coughing and followed for COPD. Obstructive sleep apnea was detected via polysomnography. Despite increased positive pressure, the apneas did not heal. On CT, trachea flattening and tracheal ring and cartilages deterioration were detected. The patient had no sleep apnea one year after stenting. The second case was a 66-year-old male having inhaled treatment for five years for chronic coughing. In bronchoscopy, anterior and posterior parts of trachea were seen to cleave into each other in expiration. Since his tracheomalacia was not life-threatening, he has taken under follow-up.

Keywords: Apnea, cough, tracheomalacia, sleep

Ahmet Arsoy, Hanifi Yldz, Mehmet Hakan Bilgin, Selami Ekin. Two cases with tracheomalacia. Respir Case Rep. 2016; 5(3): 220-223

Sorumlu Yazar: Hanifi Yldz, Trkiye
Makale Dili: ngilizce
LookUs & Online Makale