Successful management of congenital bronchial web in an adolescent using bronchoscopic ablation: A case report and review of literature

<p dir="ltr">Airway webs are abnormal fibrous membranes in the airway lumen that rarely occur but can lead to serious or even life-threatening symptoms because of critical airway obstruction. Airway webs can be acquired or congenital. Acquired webs are likely to be secondary to traum...

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Main Author: Sara G. Hamad (17337700) (author)
Other Authors: Ahmed Abushahin (17337703) (author), Hisham Abdulsattar (17337706) (author), Kashif Waqas (17337709) (author), Mutasim Abu-Hasan (5864558) (author)
Published: 2023
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_version_ 1864513542564085760
author Sara G. Hamad (17337700)
author2 Ahmed Abushahin (17337703)
Hisham Abdulsattar (17337706)
Kashif Waqas (17337709)
Mutasim Abu-Hasan (5864558)
author2_role author
author
author
author
author_facet Sara G. Hamad (17337700)
Ahmed Abushahin (17337703)
Hisham Abdulsattar (17337706)
Kashif Waqas (17337709)
Mutasim Abu-Hasan (5864558)
author_role author
dc.creator.none.fl_str_mv Sara G. Hamad (17337700)
Ahmed Abushahin (17337703)
Hisham Abdulsattar (17337706)
Kashif Waqas (17337709)
Mutasim Abu-Hasan (5864558)
dc.date.none.fl_str_mv 2023-01-01T00:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.rmcr.2022.101786
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Successful_management_of_congenital_bronchial_web_in_an_adolescent_using_bronchoscopic_ablation_A_case_report_and_review_of_literature/24501043
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Cardiovascular medicine and haematology
Paediatrics
Engineering
Biomedical engineering
Bronchial web
Central airway obstruction
Congenital bronchial web
Endoscopic argon plasma ablation
Interventional bronchoscopy
dc.title.none.fl_str_mv Successful management of congenital bronchial web in an adolescent using bronchoscopic ablation: A case report and review of literature
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">Airway webs are abnormal fibrous membranes in the airway lumen that rarely occur but can lead to serious or even life-threatening symptoms because of critical airway obstruction. Airway webs can be acquired or congenital. Acquired webs are likely to be secondary to trauma, infections, or neoplasm. Congenital laryngeal, subglottic and tracheal webs present early in infancy or childhood and are more common than congenital bronchial webs. To our knowledge, there are a few reports on the bronchial web in the literature, and the true incidence of these lesions is unknown as many probably go undetected across the lifespan.</p><p dir="ltr">We here report a case of a congenital bronchial web and provide a review of the literature of all reported bronchial webs. Our patient is a teenage boy who was diagnosed with a congenital bronchial web obstructing the right main-stem bronchus (RMB) and causing right lung hypoplasia and persistent right middle and right lower lobe collapse. The web was treated successfully using endoscopic ablation by argon plasma coagulation and balloon dilatation. Treatment resulted in remarkable relief of right main stem obstruction and significant improvement in right lung collapse as well as clinical, spirometric, and radiological findings.</p><p dir="ltr">Due to the rarity of bronchial web, the clinical knowledge and the bronchoscopic interventional strategies demonstrated of this report make it relevant. Furthermore, it emphasizes that early diagnosis and management lead to favorable clinical outcomes.</p><h2>Other Information</h2><p dir="ltr">Published in: Respiratory Medicine Case Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.rmcr.2022.101786" target="_blank">https://dx.doi.org/10.1016/j.rmcr.2022.101786</a></p>
eu_rights_str_mv openAccess
id Manara2_378aa5712537cf0cca481cca5dbfa5cd
identifier_str_mv 10.1016/j.rmcr.2022.101786
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/24501043
publishDate 2023
repository.mail.fl_str_mv
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rights_invalid_str_mv CC BY 4.0
spelling Successful management of congenital bronchial web in an adolescent using bronchoscopic ablation: A case report and review of literatureSara G. Hamad (17337700)Ahmed Abushahin (17337703)Hisham Abdulsattar (17337706)Kashif Waqas (17337709)Mutasim Abu-Hasan (5864558)Biomedical and clinical sciencesCardiovascular medicine and haematologyPaediatricsEngineeringBiomedical engineeringBronchial webCentral airway obstructionCongenital bronchial webEndoscopic argon plasma ablationInterventional bronchoscopy<p dir="ltr">Airway webs are abnormal fibrous membranes in the airway lumen that rarely occur but can lead to serious or even life-threatening symptoms because of critical airway obstruction. Airway webs can be acquired or congenital. Acquired webs are likely to be secondary to trauma, infections, or neoplasm. Congenital laryngeal, subglottic and tracheal webs present early in infancy or childhood and are more common than congenital bronchial webs. To our knowledge, there are a few reports on the bronchial web in the literature, and the true incidence of these lesions is unknown as many probably go undetected across the lifespan.</p><p dir="ltr">We here report a case of a congenital bronchial web and provide a review of the literature of all reported bronchial webs. Our patient is a teenage boy who was diagnosed with a congenital bronchial web obstructing the right main-stem bronchus (RMB) and causing right lung hypoplasia and persistent right middle and right lower lobe collapse. The web was treated successfully using endoscopic ablation by argon plasma coagulation and balloon dilatation. Treatment resulted in remarkable relief of right main stem obstruction and significant improvement in right lung collapse as well as clinical, spirometric, and radiological findings.</p><p dir="ltr">Due to the rarity of bronchial web, the clinical knowledge and the bronchoscopic interventional strategies demonstrated of this report make it relevant. Furthermore, it emphasizes that early diagnosis and management lead to favorable clinical outcomes.</p><h2>Other Information</h2><p dir="ltr">Published in: Respiratory Medicine Case Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.rmcr.2022.101786" target="_blank">https://dx.doi.org/10.1016/j.rmcr.2022.101786</a></p>2023-01-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.rmcr.2022.101786https://figshare.com/articles/journal_contribution/Successful_management_of_congenital_bronchial_web_in_an_adolescent_using_bronchoscopic_ablation_A_case_report_and_review_of_literature/24501043CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/245010432023-01-01T00:00:00Z
spellingShingle Successful management of congenital bronchial web in an adolescent using bronchoscopic ablation: A case report and review of literature
Sara G. Hamad (17337700)
Biomedical and clinical sciences
Cardiovascular medicine and haematology
Paediatrics
Engineering
Biomedical engineering
Bronchial web
Central airway obstruction
Congenital bronchial web
Endoscopic argon plasma ablation
Interventional bronchoscopy
status_str publishedVersion
title Successful management of congenital bronchial web in an adolescent using bronchoscopic ablation: A case report and review of literature
title_full Successful management of congenital bronchial web in an adolescent using bronchoscopic ablation: A case report and review of literature
title_fullStr Successful management of congenital bronchial web in an adolescent using bronchoscopic ablation: A case report and review of literature
title_full_unstemmed Successful management of congenital bronchial web in an adolescent using bronchoscopic ablation: A case report and review of literature
title_short Successful management of congenital bronchial web in an adolescent using bronchoscopic ablation: A case report and review of literature
title_sort Successful management of congenital bronchial web in an adolescent using bronchoscopic ablation: A case report and review of literature
topic Biomedical and clinical sciences
Cardiovascular medicine and haematology
Paediatrics
Engineering
Biomedical engineering
Bronchial web
Central airway obstruction
Congenital bronchial web
Endoscopic argon plasma ablation
Interventional bronchoscopy