DOI: http://dx.doi.org/10.18203/10.18203/issn.2454-5929.ijohns20163117

Evaluation of management of tracheal stenosis: our experience of 25 patients

Himanshu Swami, Bharath M., Chaitra B. G.

Abstract


Background: This study was conducted at a tertiary referral centre. Tracheal stenosis is a relatively rare complication, the chief etiologies being prolonged intubation and trauma. The management is difficult and requires variety of skill based procedures which can be either endoscopic or open technique. Our objective was to determine factors for deciding on the type of surgery required for patients with tracheal stenosis.

Methods: 25 consecutive patients of tracheal stenosis referred to our department were selected after confirming the diagnosis by fibre optic examination and CT scan.  

Results: All the patients were managed using various techniques. Long segment and circumfrential stenosis underwent resection and anastamosis. Other cases were managed by either endoscopic techniques or tracheoplasty.

Conclusions: The main factors for deciding the type of intervention are the length of stenotic segment and presence circumferential stenosis.

Keywords


Tracheal stenosis, Tracheoplasty, Tracheal resection and anastamosis

Full Text:

PDF

References


Grillo HC, Zannini P, Michelassi F. Complications of tracheal reconstruction, incidence, treatment and prevention. Thoracic Cardio Vascular Surg. 1986;91:322-8.

Har-El G, Shaha A, Chaudry R, Lucente FE. Resection of tracheal stenosis with end to end anastomosis. Ann Oto Rhino Laryngol. 1993;102:670.

Mc Caffrey TV. Management of subglottic stenosis stenosis in adults. Annal Oto Rhino Laryngol. 1991;100;90.

Burnstein FD, Canalis RC, Ward PH. Composite hyoid-sternohyoid interposition graft revisited – laryngoscope.1896;96:516.

Meyer R. New concepts in laryngotracheal reconstruction. Trans Am Acad Opthalmol otolaryngol. 1972;76:758-65.

Laccorrreye O, Bransu D, Seckin S, Hans S. Cricotracheal anastomosis for assisted ventilation induced stenosis. Arch otolaryngol Head & Neck surgery. 1997;113:1074-77.

Dedo HH, Fishman NH. Laryngeal release and sleeve resection for tracheal stenosis. Annals of otology, Rhinol Laryngol. 1970;78:295.

Naficy S, Esclamando RM, Clevena RA. Reconstruction of rabbit trachea with vascularised auricular perichondrium. Ann Oto Rhino Laryngol. 1996;105:356-62.

Casiano RA, Patete M, Lindquist T. Tracheoplasty using titanium reconstructive plates with strap muscle flap. Otolaryngol Head & Neck Surg. 1994;111:205-10.

Grillo HC. Primary reconstruction of airway after resection of subglottic laryngeal and upper tracheal stenosis. Ann Thorac Surg. 1982;33:3-18.

Younis RT, Lazar RH. Laryngotracheal reconstruction without stenting. Otolaryngol Head Neck Surg. 1997;116(3):358-62.

Pearson FG, Filomino B, Cooper JD. Experience with partial cricoid resection and thyrotracheal anastamosis. Ann Otol rhinol laryngol. 1986;95:582.

Mandour M, Remacle M. Chronic subglottis and tracheal stenosis: endoscopic management vs surgical reconstruction. Eur Arch otorhinolaryngology. 2003;260:374-80.

Maniglia AJ. Conservative surgical management of tracheal stenosis. Otolaryngol. 1978;86:380.

Shapsay SM, Beamis JF, Dumon JF: total cervical tracheal stenosis: treatment by laser, dilatation & stenting. Ann oto Rhino Laryngol. 1989;98:890.

Simpson GT, Strong MS, Healy GB. Predictive factors of success or failure in the endoscopic management of laryngeal and tracheal stenosis. Ann Oto Rhino Laryngol. 1982;91:384.

Ossof RH, Tucker GF, Duncavage JA. Efficacy of bronchoscopic CO2 laser surgery for benign strictures of trachea. Laryngoscope. 1985;95:1220.