Bronchial airway morphology

While a number of immortalised cell lines emanating from different cell types of the airway (i.e., tracheo-bronchial) epithelium of lungs from various mammalian species are available (see Chap. 10), reliable and continuously growing cell lines that possess AEC morphology and phenotype are not reported to date. Most studies use cell lines of alveolar epithelial origin for drug absorption studies, while the observations are hard or meaningless to extend to in vivo human situation. 

The most important morphological examination prior to insertion of an airway stent is a spiral computed tomography (CT) of the major airways. A CT enables a delineation of the airway obstruction. It further demonstrates the length of stenosis, grade of obstruction, and allows calibrated measurements of the smallest diameter of the obstruction. CT can also differentiate a mucosal obstruction from a submucosal cause of obstruction, and further extra-tracheal or exo-bronchial disease responsible for airway comprise. Another advantage of CT is the possibility to assess the relation of the underlying cause of obstruction to other crucial mediastinal and/or pulmonary structures (e.g., major vessels, esophagus, heart, lymph nodes). 

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