Otolaryngology:
Tracheal stenosis — Stenting. Treatment abroad

Juvenile nasopharyngeal angiofibroma (JNA) is a benign tumor of the nasopharynx, which is characteristic mainly for boys and young men. Structurally, it is composed of the fibrous tissue and thin-walled vessels, which are bleeding from time to time. The tumor is characterized by an aggressive course. Depending on the growth direction, over time it grows into the nasal cavity, paranasal sinuses and skull base, creating a threat to the patient’s life. The major treatment option is surgery. In some cases, the radiation techniques may be used.
Surgery

The choice of the surgical technique depends on the formation size:

  1. For small tumors, surgery can be performed endoscopically through the natural orifices (mouth or nose). Such an intervention can minimize the tissue trauma.
  2. Another option of removing small JNA is through the palate. The surgeon makes a horseshoe-shaped incision on the upper edge of the gums, excises a portion of the palate on the affected side, and then resects the tumor. Such an access provides a broad overview of the nasopharynx.
  3. Medial tumors, which invaded the nasal cavity or orbit, are removed through the maxillary sinus. The incision in this case is made under the upper lip.
  4. Large JNA, invading the base of the skull, are dissected through the infratemporal fossa.

The day before surgery, the angiography is performed, which allows the embolization (occlusion) of blood vessels feeding the tumor and reduces the risk of bleeding.

JNA is removed to the fullest extent possible. If the total resection is not possible, the formation is excised partially, and the patient is prescribed radiation therapy after surgery. The following techniques are well-proven for angiofibromas:

  1. Stereotactic surgery (Gamma Knife). The tumor residue is affected by a high dose of radiation, which leads to the tumor cell death. The flows of radiation particles are formed so that most of the energy was targeted at the pathological focus. Thus, the healthy tissue is almost not subjected to irradiation. The procedure is performed only once. The effect is manifested over the next 6 to 24 months.
  2. Conformal radiotherapy. The tumor is irradiated precisely from different angles. Consequently, the major impact is targeted exactly at the pathological focus. The surrounding tissues are damaged to a lesser extent than upon conventional irradiation techniques. The sessions are repeated daily for several weeks.

For inoperable JNA, the radiation techniques may be indicated as the main treatment option.

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University Hospital Cologne

8.9/10 from 82 Votes

Treatment of tracheal stenosis with stenting

The Department of Cardiology, Angiology, Pneumology and Intensive Care Medicine of the University Hospital Cologne is part of the Heart Center Cologne. The Department offers its patients treatment at the highest level with the use of all innovations for treating coronary artery stenosis, arrhythmias and hypertension.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne

Price 10518.00

University Hospital Frankfurt

8.5/10 from 97 Votes

Treatment of tracheal stenosis with stenting

The Department of Gastroenterology, Pneumology and Endocrinology is the department №1 at the University Hospital Frankfurt. Its focuses include gastroenterology and  hepatologym  pneumology and allergology, endocrinology and diabetology as well as nutritional medicine.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Price 12445.00

University Hospital rechts der Isar der TU München

8.3/10 from 70 Votes

Treatment of tracheal stenosis with stenting

A team of experts from the Department of Internal Medicine at the university hospital Klinikum rechts der Isar treats patients with cardiovascular diseases.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Price 12298.00

RWTH University Hospital Aachen

8.7/10 from 41 Votes

Treatment of tracheal stenosis with stenting

The focuses of the Medical Department I are Cardiology, Pneumology, Angiology and Internal Intensive Medicine. In cooperation with the medical departments II and IV, there is treated the entire spectrum of internal diseases at the highest level.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Aachen

Price 9836.00

University Hospital Heidelberg

9/10 from 57 Votes

Treatment of tracheal stenosis with stenting

The Department of Cardiology, Angiology, and Pneumology at the Heidelberg University Hospital with the staff of over 500 members is the largest department of the Heidelberg University Hospital. The Department constanly expands the specialization of its clinical and scientific activities.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Heidelberg

Price 12400.00

Alfried Krupp Hospital in Essen-Ruettenscheid

9.9/10 from 42 Votes

Treatment of tracheal stenosis with stenting

The main treatment areas of the Department of Internal Medicine I, headed by Prof. Dr. med. Thomas Budde, are invasive and non-invasive cardiac diagnostics and therapy of all cardiac diseases.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

Price 9129.00

Academic Hospital Merheim Cologne

8.9/10 from 23 Votes

Treatment of tracheal stenosis with stenting

The Department is a center for the study of organs, which offers a comprehensive treatment of all diseases of the chest – with the exception of heart.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne

Price 12705.00

Städtisches Klinikum Neuperlach

9.8/10 from 11 Votes

Treatment of tracheal stenosis with stenting

The department of cardiology, pneumology and internal intensive care treats cardiovascular disease and lung diseases. seriously ill patients are treated in intensive care units. The medical emphases of cardiology are the treatment of valvular heart disease, arrhythmias and myocardial insufficiency or heart failure.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Price 10014.00

Hannover Medical School, MHH

9.8/10 from 43 Votes

Treatment of tracheal stenosis with stenting

Pulmonology clinic deals with all diseases of the lungs and airways. Any patient will find the best care here, be it chronic or acute form of lung disease. The clinic is one of the world's largest centers for lung transplantation. Since 1987 (as of March 2014), it conducted 1.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover

Price 11038.00

Gummersbach District Hospital of the Klinikum Oberberg

9.6/10 from 23 Votes

Treatment of tracheal stenosis with stenting

The Department of Internal Medicine I at the Klinikum Oberberg in Gummersbach provides treatment to patients with all diseases from the field of internal medicine apart from drug treatment of malignancies (cancer) and blood disorders (hematology / Department of Internal Medicine II).


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Gummersbach

Price 8887.00

University Hospital Dusseldorf

9.5/10 from 71 Votes

Treatment of tracheal stenosis with stenting

The Department of Cardiology, Pneumology and Angiology at the University Hospital Dusseldorf  provides treatment for the whole range of diseases in the field of cardiovascular medicine.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Duesseldorf

Price 12712.00

St. Anna Hospital Herne

9.5/10 from 7 Votes

Treatment of tracheal stenosis with stenting

The Department of Internal Medicine specializes in: Diagnosis and treatment of diseases of the internal organs, especially treatment of the heart, blood vessels, lungs and kidneys ECG, ultrasound, body plethysmography Long-term measurement of blood pressure in the treatment of hypertension Im...


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Herne

Price 9659.00

UKGM Gießen

9.5/10 from 35 Votes

Treatment of tracheal stenosis with stenting

The department of internal medicine II includes general internal medicine and a number of priority areas of medical branch.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Giessen

Price 9893.00

Krankenhaus Nordwest

9.5/10 from 24 Votes

Treatment of tracheal stenosis with stenting

The department of internal medicine treats diseases of internal medicine. These include general medical and internal diseases of the emphasis of the clinic on gastroenterology / hepatology, pulmonology / sleep medicine, cardiology and internal intensive care.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Price 9817.00

Hospital Kloster Grafschaft GmbH

9.4/10 from 21 Votes

Treatment of tracheal stenosis with stenting

The department of lung medicine (Pneumology) supervises more than 4,000 patients each year. The focuses of the treatment are placed upon the following clinical pictures: Chronic obstructive bronchitis, Lung emphysema, Bronchial asthma, Lung cancer, Lung fibrosis, Chronic persistent cough.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Schmallenberg

Price 8861.00

University Hospital Wurzburg

9.2/10 from 38 Votes

Treatment of tracheal stenosis with stenting

Medical Clinic I is mainly engaged in six areas of internal medicine, i. e. cardiology, intensive care, neurology, pulmonology, angiology; their research, teaching and care of patients with the relevant conditions. The clinic has 62 full-time positions and 20 externally funded places for researchers.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Würzburg

Price 10569.00