Tracheopathia osteoplastica is a benign cartilaginous and osseous metaplasia of the laryngo-tracheobronchial tree diagnosed more commonly in adults over 50 years of age. We report here the case of a 54-year-old man who underwent thyroidectomy for multinodular goiter. Immediately after an uneventful surgery, he developed an acute respiratory failure with radiologic picture of Adult Respiratory Distress Syndrome. Mechanical ventilation was set up again, bronchoscopy with biopsy disclosed a massive tracheobronchial haemorrhage from a tracheopathia osteoplastica. Supportive treatment was successfully provided and the patient resumed to a normal life 14 days after the operation.
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Tracheobronchopathia osteoplastica: a clinical case report of a 63-year-old man.
Front Med (Lausanne)
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Department of Gastroenterology, Ankang Central Hospital, Ankang, Shaanxi, China.
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- - Tracheobronchopathia osteoplastica (TO) is a rare benign airway condition involving abnormal bone and cartilage growth in the trachea and bronchi, often diagnosed through biopsy.
- - A case study of a 63-year-old male with symptoms like coughing and hemoptysis highlighted the importance of identifying TO, though its exact cause remains unknown and may relate to chronic issues.
- - While TO typically has a slow progression and good prognosis, symptoms can worsen over time, making early diagnosis and management strategies, like inhaled glucocorticoids and interventional therapies, essential.
Building and validating an artificial intelligence model to identify tracheobronchopathia osteochondroplastica by using bronchoscopic images.
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State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong Province 510000, China.
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- The study addresses the challenge of diagnosing tracheobronchopathia osteochondroplastica (TO), a rare disease, since many young doctors may struggle to identify it through bronchoscopy.
- Researchers developed an artificial intelligence (AI) model using bronchoscopic images to accurately distinguish TO from other similar airway diseases such as amyloidosis and tumors.
- Results showed the AI model achieved a high accuracy of 89.2% in detecting TO among multinodular lesions, and an external validation confirmed the model's effectiveness with an accuracy of 89.8% in diagnosing patients with TO.
Difficult endotracheal intubation in a patient with progressed tracheobronchopathia osteoplastica: A case report.
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Department of Anesthesiology and Pain Medicine, Inje University Sanggye Paik Hospital, Seoul, Korea.
Tracheobronchopathia osteoplastica is a rare condition involving large airways with multiple bone and cartilage nodules in the tracheobronchial submucosa. This can cause tracheal stenosis, leading to difficulty in endotracheal intubation. A 79-year-old female patient, who had a history of successful endotracheal intubation for general anesthesia 8 years prior, was scheduled for abdominal surgery.
View Article and Find Full Text PDFTracheopathia osteochondroplastica: a case report illustrating the importance of imaging in this rare disorder.
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Background: Tracheopathia osteochondroplastica (TPO) is an uncommon and benign abnormality of the cartilaginous tracheal wall. It is characterized by multiple calcified nodules in the submucosa of the trachea and main bronchi. This disorder can present as a wide range of nonspecific symptoms; therefore, TPO is usually found as an incidental finding during bronchoscopy.
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Tracheobronchopathia osteochondroplastica (TO) is an uncommon non-malignant tracheal ailment characterized by the existence of numerous bone and/or cartilage nodules in the submucosa of the trachea and bronchi. At present, there is a lack of standardized treatment recommendations for TO. This article presents two instances of severe tracheal stenosis caused by TO, which were effectively managed through the implementation of bronchoscopic stent placement and rigid bronchoscopy curettage, respectively.
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