A multi‐centre retrospective review of the bronchoscopic management of upper tracheal stenosis: An Australian perspective

BACKGROUND: Upper tracheal stenosis (UTS) is a rare process with multiple causes and variable approaches to treatment. Australian data on management patterns are lacking and patient resources reflecting local practices are scarce. AIMS: To describe the management strategies of UTS over 12 years among three teaching hospitals in New South Wales, Australia. A secondary aim is to formulate an evidence-based patient information sheet for this condition and its management. METHODS: Retrospective descriptive case series. Demographic, procedural and spirometric data were obtained from the medical records of patients undergoing bronchoscopy for UTS between March 2012 and February 2024. RESULTS: improved by 0.36 L (95% CI: 0.15-0.54, P = 0.002) and 14% predicted. There was a documented improvement in symptoms in 80% of therapeutic procedures. Complications were infrequent and higher in procedures involving stents. Based on these findings, a patient information sheet has been developed. CONCLUSIONS: Patients with UTS undergo several bronchoscopies that result in improvements in symptoms and function with relatively low rates of complications.