Endoscopic methods in the treatment of a patient with tracheal scar stenosis and tracheal cancer

Objective. Demonstration of a case of endoscopic diagnosis and treatment of a patient with cicatricial stenosis and primary tracheal tumor. Material and methods. The article presents the experience of endoscopic treatment of a 48-year-old patient with tracheal scar stenosis and squamous cell carcinoma, who was admitted to the clinic with complaints of dyspnea at rest, which increases with physical exertion, hoarseness. From the anamnesis: these complaints appeared about 6 months ago. According to the endoscopic and radiological examination, tracheal scar stenosis and squamous cell carcinoma of the trachea were detected. Results. The tracheal bougienage and silicone stent insertion was performed. The stent’s length in 8-cm. There weren’t complications during the intervention period. During the endoscopic examination, the stent was completely straightened. The patient has no respiratory disorders. Conclusion. Endoscopic treatment of patients with primary tracheal tumor and tracheal scar stenosis leads to effective restoration and maintenance of airway patency, relieves symptoms of respiratory failure, has broad application prospects and can be considered safe. Bronchoscopic intervention can effectively relieve disease symptoms in patients with relevant surgical limitations and inability to undergo surgical treatment, especially when combined with radiotherapy or chemotherapy, and can prolong patient survival.