The Effect of Tracheal Diverticulum and Chronic Ostructive Lung Disease on Chest Anthropometry

Year 2022, Volume: 4 Issue: 1, 60 - 65, 01.01.2022

Mine Argalı Denız , Hilal Er Ulubaba , Muhammed Furkan Arpacı , Fatih Çavuş , Gökhan Demirtaş , Turgay Karataş , Davut Özbağ

https://doi.org/10.37990/medr.993782

Abstract

Aim: In this study, we aimed to evaluate the effect of tracheal diverticula (TD) on chest anthropometry and its relationship with chronic obstructive pulmonary disease (COPD).
Material and Method: Between January 2019 and March 2020, 995 patients who underwent chest CT were retrospectively analyzed and TD was detected in 62 cases. Group 1 is only TD, Group 2 is TD + COPD, Group 3 is only COPD, Group 4 is defined as control group. We measured the localization, size, the distance to carina and vocal cord of TDs. In all groups chest diameters at T4 and T9 levels were measured as transverse and vertical plans.
Results: TDs detected mostly at the T2 and T3 levels. In Group 1 and Group 2, there was a statistically significant difference the distance to TD of vocal chords. A statistically significant difference was found between Group 1 and Group 3 only in the anteroposterior diameter at the T4 and T9 levels.
Conclusion: The fact that TDs, which we do not know clearly whether they are acquired or congenital, have different TD levels in COPD patients made us think that TDs may be acquired. We also observed that COPD affects TD localization and TD has the opposite effect in increasing anteroposterior chest parameters in COPD. Precence of TD is essential on COPD patients about thorax anthropometry.

Keywords

Tracheal diverticulum, antropometry, radiology, COPD, chest diameter

References

• Referans1 Pace M, Dapoto A, Surace A, Giacomo A, Morzenti C, Costantini E et all. Tracheal diverticula. A retrospective analysis of patients referred for thoracic CT. Medicine. 2018;97:39:1-5. http://dx.doi.org/10.1097/MD.0000000000012544.
• Referans2 Charest M, Sirois C, Carter Y, Rousseau J. Infected tracheal diverticulum mimicking an aggressive mediastinallesion on FDG PET/CT: an interesting case withreview of the literature. Br J Radiol. 2012;85(1009):e17-21. http:// dx.doi.org/10.1259/bjr/32814390.
• Referans3 Sayit A, Elmali M, Saglam D, Celenk Ç. The diseases of airway-tracheal diverticulum: a review of the literature. J Thorac Dis 2016;8(10):1163-7.
• Referans4 Soto PC, Congregado M, Loscertales J. Divertículotraquealadquiridocomocausa de intubaciónorotrachealcomplicada. Arch Bronconeumol. 2012;48(2):64-6. http:// dx.doi.org/10.1016/j.arbres.2011.09.006.
• Referans5 Djamouri F, Le PimpecBarthes F, Pheulpin G, Grignet JP, Carnot F, Riquet M Air-filled cysts of tracheal origin: nosological problem sand actual frequency [Article in French]. Rev Mal Respir. 2002;19(4):523-6.
• Referans6 Yılmaz F, Kervancıoğlu S. A Tracheal Diverticulum Case Diagnosed with Three-Dimensional Images. Eurasian J Pulmonol 2014;16:135-6.
• Referans7 Amaral B, Silva S, Feijó S. Infected tracheal diverticulum: a rare association with alpha-1 antitrypsin deficiency. J Bras Pneumol. 2014;40(6):669-72. http://dx.doi.org/10.1590/S1806-37132014000600011.
• Referans8 Flores-Franco R, Silva-Alcaraz J. Acquired Tracheal Diverticulum as an Unexpected Cause of Endotracheal Tube Cuff Leak. The Journal of Critical Care Medicine 2015;1(4):171-3.
• Referans9 GOLD Committee. Global strategy for the diagnosis, management and prevention of COPD, Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global Initiative for Chronic Obstructive Lung Disease website. http://www.goldcopd.org/guidelines-global-strategy-for-diagnosis.
• Referans10 Wiegman C, Li F, Chung K. Oxidative Stress in Ozone-Induced Chronic Lung Inflammation and Emphysema: A Facet of Chronic Obstructive Pulmonary Disease. Front Immunol. 2020; 2;11:1957. doi: 10.3389/fimmu.2020.01957.
• Referans11 Takahashi M, Fukuoka J, Murata K. Imaging of pulmonary emphysema: A pictorial review. Int C Chron Obstruct Pulmon Dis. 2008;3(2):193-204.
• Referans12 Yıldırım Y , Alizoroğlu D , Erbaycu A , Soy Ö. Thorax Radiography, High Resolution Tomography and Emphysema Score Measurement in Chronic Obstructive Pulmonary Disease. Tepecik Eğit. ve Araşt. Hast. Dergisi. 2019;29(1):28-36 doi:10.5222/terh.2019.74436.
• Referans13 Kurt A, Sayit AT, Ipek A, et al. A multi detector computed tomography survey of tracheal diverticulum. Eurasian J Med 2013;45:145-8.
• Referans14 Polat AV, Elmali M, Aydin R, et al. Paratracheal air cysts: prevalence and correlation with lung diseases using multidetector CT. J Med Imaging Radiat Oncol 2014;58:144-8.
• Referans15 Marina P, Annarita D, Alessadre D, Alessio DG, Cesare M,Emanuele C,Francesco S, Sandro S. Tracheal Diverticula-A retrospective analyses of patients referred for thoracic ct.Observational study. Medicine. 2018 97:39.
• Referans16 Soto-Hurtado EJ, Pe-uela-Ruíz L, Rivera-Sánchez I, Torres-Jiménez J. Tracheal diverticulum: a review of theliterature. Lung. 2006;184(6):303-7. http://dx.doi. org/10.1007/s00408-006-0010-7.
• Referans17 Gayer G. Tracheal diverticula. Semin ultrsound CT. MRI 2016;37: 190–5.
• Referans18 Buterbaugh JE, Erly WK. Paratrachealaircysts: a commonfinding on routine CT Examinations of the cervical spine and neck that maymimic pneumomediastinum in patients with traumatic injuries. AJNR Am J Neuroradiol. 2008;29(6):1218-21. http://dx.doi.org/10.3174/ajnr.A1058.
• Referans19 Cheng HM, Chang PY, Chiang KH, et al. Prevalence and characteristics of paratracheal air cysts and their association with emphysema in a general population. Eur J Radiol 2012;81:2673-7.
• Referans20 Huang D, Ma Q, Wang S, et al. Transcervical resection of tracheal diverticulum. Head Neck 2017;39:187–90.
• Referans21 Kokkonouzis I, Haramis D, Kornezos I, Moschouris H, Katsenos S, Bouchara S. Tracheal diverticulum in an asymptomaticmale: a casereport. Cases J. 2008;1(1):181. http://dx.doi.org/10.1186/1757-1626-1-181.
• Referans22 Goo JM, Im JG, Ahn JM, Moon WK, Chung JW, Park JH, et al. Right paratracheal air cysts in the thoracic inlet: clinical and radiologic significance. AJR Am J Roentgenol 1999;73(6):65-70.
• Referans23 Lin H, Cao Z, Ye Q. Tracheal diverticulum: a case report and literature review. Am J Otolaryngol 2014;35:542-5.
• Referans24 Rahalkar MD, Lakhkar DL, Joshi SW, Gundawar S. Tracheal diverticula-report of 2 cases. Indian J RadiolImaging. 2004;14(2):197-8.
• Referans25 Griscom NT, Vawter GF, Stigol LC. Radiologicandpathologicabnormalities of thetrachea in olderpatientswithcysticfibrosis. Am J Roentgenol. 1987;148:691-3.