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Parshin V.D.

National Medical Research Center of Phthisiopulmonology and Infectious Diseases, Moscow, Russia;
Russian Medical Academy for Continuous Professional Education, Moscow, Russia;
Federal Medical-Biological Agency of Russia, Moscow, Russia;
Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia

Merzhoeva Z.M.

Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia

Parshin A.V.

National Medical Research Center of Phthisiopulmonology and Infectious Diseases, Moscow, Russia;
Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia

Simonova M.S.

National Medical Research Center of Phthisiopulmonology and Infectious Diseases, Moscow, Russia;
Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia

Mariyko A.V.

National Medical Research Center of Phthisiopulmonology and Infectious Diseases, Moscow, Russia

Parshin V.V.

Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia

Surgical treatment of expiratory stenosis

Authors:

Parshin V.D., Merzhoeva Z.M., Parshin A.V., Simonova M.S., Mariyko A.V., Parshin V.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2026;(5): 115‑123

DOI: 10.17116/hirurgia2026051115

Read: 384 times

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Table of contents

SURGICAL TREATMENT OF EXPIRATORY STENOSIS
SURGICAL TREATMENT OF EXPIRATORY STENOSIS

To cite this article:

Parshin VD, Merzhoeva ZM, Parshin AV, Simonova MS, Mariyko AV, Parshin VV. Surgical treatment of expiratory stenosis. Pirogov Russian Journal of Surgery. 2026;(5):115‑123. (In Russ.)
https://doi.org/10.17116/hirurgia2026051115

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To demonstrate the effectiveness of surgical treatment for complicated expiratory tracheal stenosis.

MATERIAL AND METHODS

The authors present anamnestic data, symptoms, diagnostic approaches, surgical features and outcomes in a patient with expiratory tracheal stenosis and syncopal episodes.

CONCLUSION

Expiratory tracheal stenosis remains an underdiagnosed and underestimated condition. Primary etiopathogenetic factor is excessive intrathoracic pressure during exhalation. The gold standard for diagnosis is tracheobronchoscopy. Imaging techniques are useful only in dynamic formats. Conservative therapy (anti-inflammatory, mucolytic and bronchodilators), including positive end-expiratory pressure (PEEP) ventilation, is effective for most patients, but should be considered as a palliative measure. Surgical treatment aimed at posterior tracheal wall reinforcement is indicated for complications such as syncopal episodes, severe barking cough, and impaired social functioning. Minimally invasive techniques are available and appropriate for expiratory tracheal stenosis. Long-term outcomes depend on consistent lifelong pulmonological care.

Keywords:

expiratory tracheal stenosis
surgery for expiratory tracheal stenosis
tracheomalacia
tracheoplasty
chronic obstructive pulmonary disease

Authors:

Parshin V.D.

National Medical Research Center of Phthisiopulmonology and Infectious Diseases, Moscow, Russia;
Russian Medical Academy for Continuous Professional Education, Moscow, Russia;
Federal Medical-Biological Agency of Russia, Moscow, Russia;
Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia

Merzhoeva Z.M.

Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia

Parshin A.V.

National Medical Research Center of Phthisiopulmonology and Infectious Diseases, Moscow, Russia;
Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia

Simonova M.S.

National Medical Research Center of Phthisiopulmonology and Infectious Diseases, Moscow, Russia;
Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia

Mariyko A.V.

National Medical Research Center of Phthisiopulmonology and Infectious Diseases, Moscow, Russia

Parshin V.V.

Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia

Received:

19.05.2025

Accepted:

30.05.2025

Close metadata

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