Smoking-Associated Endotracheal Hair Growth: A Case Report on Tracheal Complications

    Paul Thöne, Roland Kropfmüller, Daniela Gompelmann, Bernd Lamprecht, David Lang
    Studysummary This case study reported that endotracheal hair growth following tracheal restructuring with an autograft was associated with cigarette smoking, and was ultimately stopped by argon plasma laser-coagulation and smoking cessation.
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    A 52-year-old male patient experienced endotracheal hair growth and tracheal irritation 26 years after a tracheostoma closure supported by an autologous graft, with symptoms exacerbated by smoking. Initial treatments included anti-inflammatory, antimycotic, and antibacterial therapies, followed by endoscopic restructuring, which provided temporary relief. Recurrences of hair growth were ultimately resolved through argon plasma laser-coagulation and smoking cessation. The study suggests that smoking may trigger hair growth by upregulating molecular pathways in the respiratory epithelium, such as sonic hedgehog protein, WNT-1/ß-catenin, and epidermal growth factor receptor.
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