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

Trakeomalazili iki olgu

Ahmet Arýsoy¹, Hanifi Yýldýz², Mehmet Hakan Bilgin³, Selami Ekin^1
1Yüzüncü Yýl Üniversitesi Týp Fakültesi, Göðüs Hastalýklarý Ana Bilim Dalý, Van
²Özel Lokman Hekim Van Hastanesi, Göðüs Hastalýklarý Kliniði,Van
³Özel Ýstanbul Hastanesi, Göðüs Hastalýklarý Kliniði,Van

Trakeomalazi yönetimi zor olan ciddi bir hastalýktýr. Bu hastalarýn muayene bulgularý KOAH ve astým hastalarýna benzerdir. Bu nedenle tanýda yanýlmaya sebep olabilir. Bu çalýþmada, inhaler tedavilerden fayda görmeyen iki trakeomalazi olgusunu sunmayý amaçladýk. Hastalar bilgisayarlý tomografi, bronkoskopi ve polisomnografi ile deðerlendirildi. Birinci olgu 83 yaþýnda erkek hasta idi. Elli paket-yýl sigara anamnezi vardý. Hasta öksürük þikayeti nedeni ile hastanelere baþvurmuþ ve 10 yýldýr KOAH tanýsýyla takip edilmiþti. Polisomnografi ile uykuda obstrüktif apneleri tespit edildi. Arttýrýlan pozitif basýnca raðmen apneleri düzelmedi. Bilgisayarlý tomografi ile trakeada yassýlaþma, trakeal halka ve kýkýrdaklarda bozulma tespit edildi. Trakeal stent takýlan hastanýn birinci yýlýn sonunda uyku apnesi yoktu. Ýkinci olgu beþ yýl boyunca kronik öksürük nedeniyle farklý inhaler tedaviler verilen 66 yaþýnda bir erkek hastaydý. Hastanýn öksürüðü sert ve gürültülü idi ve uyku apnesi yoktu. Bronkoskopide expiryumda trakeanýn ön ve arka duvarýnýn birbirine yapýþtýðý görüldü. Trakeomalazisi hayatý tehdit etmediðinden takibe alýndý.

Anahtar Kelimeler: Apne, trakeomalazi, öksürük, uyku

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Two cases with tracheomalacia

Ahmet Arýsoy¹, Hanifi Yýldýz², Mehmet Hakan Bilgin³, Selami Ekin^1
1Department of Chest Diseases,Yüzüncü Yýl 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

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