Bronchoscopy is a technique frequently used by pulmonologists to visualize the airways. It usually involves inserting an instrument called a bronchoscope through the nose or mouth so that the inside of the airways can be inspected. Bronchoscopy is essential in the evaluation of a number of lung disorders including infection, hemoptysis (coughing up blood) and lung masses. All of the physicians at PCCCA are experienced in performing flexible fiberoptic bronchoscopy.
Occasionally the use of an ultrasound probe on the tip of the bronchoscope is required to better localize lesions that need to be biopsied. This new technique is known as EBUS (Endobronchial Ultrasound) and dramatically improves the diagnostic yield of this type of biopsy. Many of the physicians at PCCCA have extensive EBUS experience.
Interventional Pulmonology is a specialized field of pulmonary medicine that deals with using advanced bronchoscopic techniques to treat lung diseases in a minimally invasive fashion. Dr. John D. Hinze has extensive training and experience in the field of interventional pulmonology and is a Diplomate of the American Association of Bronchology and Interventional Pulmonology (AABIP). He is skilled in a variety of procedures including:
- Laser photoresection of airway lesions
- Endobronchial stent placement
- Airway cautery and cryoablation
- Medical thoracoscopy
- Percutaneous dilatational tracheostomy
- Management of complex airway stenoses (often in conjunction with specialists in thoracic surgery and otolaryngology)