1. 8A: Benign Airway Disorders
BRONCHATLAS©
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2. Tracheopathica Osteochondroplastica*
Firm intraluminal cartilaginous nodules
* Courtesy P. Grynblatt
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3. Osteochondroplastica benign appearance
Posterior membrane
Cartilage protuberance
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4. Anthrocosis
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5. Wegener’s Granulomatosis
Left upper lobe bronchial narrowing and obstruction
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6. Wegener’s Granulomatosis
Bronchial strictures
Classic appearance?
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7. Relapsing polychondritis
Main Carina Laryngeal involvement
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8. 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
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9. Sarcoidosis
Induration
Granularity
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10. Hamartoma Obstruction Left upper lobe bronchus 5/26/17
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11. Inhalation injury
Soot and debris at level of main carina extending into left and right bronchial tree
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12. Multifocal Malacia
Carina
Mid Trachea
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13. Infiltrative tracheal abnormalities
Amyloidosis involves larynx, trachea and carina
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14. Airway complications after lung transplantation
Bronchial stricture
Airway dehiscence *
*Courtesy JF Dumon
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15. Bronchial strictures Wegener’s Granulomatosis Tuberculosis 5/26/17
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16. Tuberculosis Evolving strictures right upper lobe bronchus
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17. Idiopathic stricture right lower lobe bronchus
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18. Tuberculous lymphadenopathy
Obstruction of Left and Right main bronchus.
Note widened carina.
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19. 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.
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20. Broncholith Right main bronchus
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21. Subsegmental Broncholith
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22. Fibromyoma
Courtesy R. Berenger
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23. Mucosa changes post obstruction
Foreign Body
Laryngeal Speaking Valve was accidentally inhaled
Mucosa changes post obstruction
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24. Earring aspirated into Left lower lobe bronchus
Courtesy S. Crawford
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25. Bronchial tear
Tear in fold
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26. Granulation tissue at proximal aspect of Left main bronchial silicone stent
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27. 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.
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Bronchoscopy International: BronchAtlas©, an Electronic On-Line Multimedia Slide Presentation. Published (Please add “Date Accessed”).
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5/26/17
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