What is your approach to treatment of airway involvement, such as recurrent bronchial stenosis, in relapsing polychondritis?

Depending on the location of airway involvement from the subglottic area to the trachea and central airways, options include cryo-spray ablation, balloon dilation, APC/Laser ablation (less favored), Kenalog injection and airway stenting. Typically, combined modalities are more effective than single modalities alone and airway stenting is reserved for refractory cased when other interventions have failed or had limited results. These are difficult cases to manage and should be combined with systemic therapy for RPC.

Treatment for airway involvement in relapsing polychondritis depends on the type of airway involvement and associated clinical manifestations. It is not straightforward. Happy to discuss the case.