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Three-dimensional printed trachea helps to design tailored treatment for tracheobronchomalacia

Abstract

Tracheobronchomalacia is a rare respiratory disease that is manifesting by impaired ventilation with expiratory collapse of the tracheal wall due to softening of the supporting cartilage and hypotonia of myoelastic elements [1]. Surgery is the mainstay of treatment. We report the case of 39 -year old man with exacerbation of chronic respiratory distress. The membranous wall of the trachea and the large bronchi was stretched to such an extent that the tracheal lumen was almost completely closed during the exhalation phase, and the cartilage bent in the opposite direction taking the opposite C-shape. To plan the operation in detail, we used 3D printing. We made the airway model in 3d using the GE AW-suite software. Then the model was printed on a 3d printer in plastic. The tracheobronchoplasty through right posterolateral thoracotomy was performed. A polipropylen mesh was sewn into the membranous wall of the trachea and main bronchi. A satisfactory wallresult was obtained. 3D printed trachea was very helpful in the planning of the operational strategy.

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Category:
Articles
Type:
artykuły w czasopismach
Published in:
Polish Archives of Internal Medicine no. 130, pages 1 - 11,
ISSN: 0032-3772
Language:
English
Publication year:
2020
Bibliographic description:
Dziedzic R., Rzyman G., Rzyman W.: Three-dimensional printed trachea helps to design tailored treatment for tracheobronchomalacia// Polskie Archiwum Medycyny Wewnętrznej -Vol. 130,iss. 2 (2020), s.1-11
DOI:
Digital Object Identifier (open in new tab) 10.20452/pamw.15105
Verified by:
Gdańsk University of Technology

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