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Bronchial deformity in bronchoscopic practice

DOI: https://doi.org/10.29296/25877305-2021-11-13
Issue: 
11
Year: 
2021

M. Shteiner(1, 2), MD; Yu. Biktagirov(2), Candidate of Medical Sciences; Professor A.
Zhestkov(2), MD; Professor E. Korymasov(2), MD; Professor E. Krivoshchekov(2), MD; Professor S. Babanov(2),
MD; N. Lavrentyeva(2), Candidate of Medical Sciences; A. Kibardin(3) (1)Samara City Hospital Four (2)Samara
State Medical University (3)Railway Clinical Hospital at the Samara Station, OAO «RZhD», Samara

The incidence and endobronchial symptoms of bronchial deformities were studied using the materials of 7323 (100%) primary therapeutic and diagnostic bronchoscopies made in the En-doscopy Unit, Samara City Hospital Four, and in the intensive care unit. A total of 114 (1.557%) patients with bronchial deformity were identified. Visual bronchological examination on the basis of medical records and data from a previous chest radiation examination could establish the eti-ology of bronchial deformity only in 28 (0.323%) cases. A special algorithm for additional diag-nostic endobronchial manipulations has been proposed for the etiological verification of bronchial deformity. When the etiology of the latter is not established, the statement «cicatricial bronchial deformity» is best avoided. These diagnostic situations are proposed to define as «bronchial de-formity requiring morphological and bacteriological evaluation».

Keywords: 
pulmonology
bronchoscopy
cicatricial bronchial deformity
bronchial deformity requiring morphological and bacteriological evaluation



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