Answer: Commonly, malignancy and foreign bodies are the two major causes come to mind as CAO. But there are many other etiologies which can lead to CAO, including
- tracheobronchomalacia
- tracheal strictures (mostly due to endotracheal or tracheostomy tubes)
- anastomotic stenoses following a lung transplant
- airway papillomas
- endobronchial hamartomas
- vascular rings/congenital heart diseases(eg double aortic arch which causes extrinsic compression or malacia)
- endobronchial infections (eg, tuberculosis, or histoplasmosis)
- laryngoceles
- airway hematoma due to trauma
- any other extrinsic compression (eg goiter, or hematoma after central line attempt)
- any inflammatory pathology
#pulmonary
References:
1. Ernst A, Feller-Kopman D, Becker HD, Mehta AC. Central airway obstruction. Am J Respir Crit Care Med 2004; 169:1278.
2. Blackledge FA, Anand VK. Tracheobronchial extension of recurrent respiratory papillomatosis. Ann Otol Rhinol Laryngol 2000; 109:812.
3. Cosío BG, Villena V, Echave-Sustaeta J, et al. Endobronchial hamartoma. Chest 2002; 122:202.
4. An HS, Choi EY, Kwon BS, et al. Airway compression in children with congenital heart disease evaluated using computed tomography. Ann Thorac Surg 2013; 96:2192.
5. Hoheisel G, Chan BK, Chan CH, et al. Endobronchial tuberculosis: diagnostic features and therapeutic outcome. Respir Med 1994; 88:593.
6. Kaya G, Ladas A, Howlett D. Laryngocele causing airway obstruction. BMJ 2016; 352:i1368.
7. Silva FS. Neck haematoma and airway obstruction in a patient with goitre: complication of internal jugular vein cannulation. Acta Anaesthesiol Scand 2003; 47:626.
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