8A: Benign Airway Disorders BRONCHATLAS© Prepared By www.Bronchoscopy.org 5/26/17 All Rights Reserved 2017

Tracheopathica Osteochondroplastica * Firm intraluminal cartilaginous nodules * Courtesy P. Grynblatt 5/26/17 All Rights Reserved

Osteochondroplastica benign appearance Posterior membrane Cartilage protuberance 5/26/17 All Rights Reserved

Anthrocosis 5/26/17 All Rights Reserved

Wegener’s Granulomatosis Left upper lobe bronchial narrowing and obstruction 5/26/17 All Rights Reserved

Wegener’s Granulomatosis Bronchial strictures Classic appearance? 5/26/17 All Rights Reserved

Relapsing polychondritis Main Carina Laryngeal involvement 5/26/17 All Rights Reserved

Relapsing Polychondritis Before and after temporary silicone stent insertion Malacia associated with bilateral auricular chondritis nonerosive inflammatory polyarthritis nasal chondritis ocular inflammation laryngotracheobronchial chondritis audiovestibular damage. And histologic confirmation of chondritis 5/26/17 All Rights Reserved

Sarcoidosis Induration Granularity 5/26/17 All Rights Reserved

Hamartoma Obstruction Left upper lobe bronchus 5/26/17 All Rights Reserved

Inhalation injury Soot and debris at level of main carina extending into left and right bronchial tree 5/26/17 All Rights Reserved

Multifocal Malacia Carina Mid Trachea 5/26/17 All Rights Reserved

Infiltrative tracheal abnormalities Amyloidosis involves larynx, trachea and carina 5/26/17 All Rights Reserved

Airway complications after lung transplantation Bronchial stricture Airway dehiscence * *Courtesy JF Dumon 5/26/17 All Rights Reserved

Bronchial strictures Wegener’s Granulomatosis Tuberculosis 5/26/17 All Rights Reserved

Tuberculosis Evolving strictures right upper lobe bronchus 5/26/17 All Rights Reserved

Idiopathic stricture right lower lobe bronchus 5/26/17 All Rights Reserved

Tuberculous lymphadenopathy Obstruction of Left and Right main bronchus. Note widened carina. 5/26/17 All Rights Reserved

Klebsiella Rhinoscleroma Chronic infection may go undiagnosed. Poland, Central and South America, Africa. Angiocentric, vasculitic, granulomatous infiltrate. Sclerotic stage results in fibrosis. Russell bodies, culture, Mikulicz’s cells. Ampicillin, Sulfa, Tetracyclines for 12 months. 5/26/17 All Rights Reserved

Broncholith Right main bronchus 5/26/17 All Rights Reserved

Subsegmental Broncholith 5/26/17 All Rights Reserved

Fibromyoma Courtesy R. Berenger 5/26/17 All Rights Reserved

Mucosa changes post obstruction Foreign Body Laryngeal Speaking Valve was accidentally inhaled Mucosa changes post obstruction 5/26/17 All Rights Reserved

Earring aspirated into Left lower lobe bronchus Courtesy S. Crawford 5/26/17 All Rights Reserved

Bronchial tear Tear in fold 5/26/17 All Rights Reserved

Granulation tissue at proximal aspect of Left main bronchial silicone stent 5/26/17 All Rights Reserved

BRONCHATLAS© Step by Step© & YouTube Instructional videos This presentation is part of a multidimensional competency-oriented curriculum for Flexible Bronchoscopy. Our goal is to eliminate patient suffering caused by unequal physician expertise and on-the-job training. 5/26/17 All Rights Reserved, 2017

All efforts are made by Bronchoscopy International to maintain currency of online information. Multimedia presentations and videos can be cited as: Bronchoscopy International: BronchAtlas©, an Electronic On-Line Multimedia Slide Presentation. http://www.Bronchoscopy.org/Bronchatlas/htm. Published 2017 (Please add “Date Accessed”). BRONCHATLAS© Thank you 5/26/17 All Rights Reserved, 2017

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