gms | German Medical Science

Tracheobronchopathia osteochondroplastica (TPO) is a rare benign disorder of the lower part of the trachea and the upper part of the main bronchii. It was first described in the middle of the 19th century and since then, approximately 300 cases have been reported. A higher incidence on TPO was seen in northern Europe countries, especially Finland. Because many cases are asymptomatic TPO is mainly diagnosed post mortem. Symptomes can range from productive or non productive cough, haemoptysis, dyspnoea, dryness of the throat, recurrent pulmonary infections or ozaena. In severe cases diagnosis is made during difficult or failed intubation. Mild cases are treated symptomaticaly. In our paper we presented case of famale patient admitted in hospital for operative treatment of nasal septal deviation and chronic inflammation of both maxillary sinuses. Patient had nonspecific symptoms of frequent infections of upper respiratory tract infections and dispnea. She was prepared for general anesthesia. Attempt of intubation failed. Operative treatment was delayed. Diagnostic procedures showed TPO. TPO was confirmed by typical histological findings by bronchoscopic biopsy. Characteristic bronchoscopic finding is described as beaded, speculated, roch garden, cobble stoned or stalactive grotto appearance. In most cases disease progress very slowly although progression have been reported eventually leading to respiratory insufficiency. Difficulties during intubation or failed intubation must be well diagnosed. TPO can be main reason for that.

Keywords: tracheobronchopathia osteochondroplastica, disorder, trachea, intubation

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