M Weidenbecher1, M Weidenbecher1, H Iro. 1. Klinik mit Poliklinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Universität, 91054, Erlangen.
Abstract
BACKGROUND: Segmental tracheal resection is considered to be the standard treatment of tracheal stenoses. MATERIALS/ METHODS: During the time period 1985-2002, segmental tracheal resection with a primary end-to-end anastomosis was performed in 117 patients with a cervical or upper thoracal stenosis of the trachea. The age distribution of the patients was between 7 and 77 years. Of the patients with a benign tracheal stenosis, sufficient data for a retrospective analysis were available in 101 patients. The length of the resected tracheal segments varied between 2 and 6 cm which required mobilisation of the trachea and the larynx and, if necessary, incision of the pulmonary ligament. RESULTS: In 5 patients a permanent damage of the recurrent laryngeal nerve was seen, of which 4 had undergone revision surgery and 10 months after surgery 93% presented with a large and stable tracheal lumen without any relevant restenosis. Due to a restenosis of 70-80% causing dyspnea at rest, 3% of the 101 patients had to undergo revision surgery. In 4% a mild and asymptomatic restenosis of 30-40% was seen which did not require any further treatment. CONCLUSION: These results demonstrate that segmental tracheal resection can safely and effectively remove stenotic tracheal segments of up to 6 cm and is therefore the treatment of choice.
BACKGROUND: Segmental tracheal resection is considered to be the standard treatment of tracheal stenoses. MATERIALS/ METHODS: During the time period 1985-2002, segmental tracheal resection with a primary end-to-end anastomosis was performed in 117 patients with a cervical or upper thoracal stenosis of the trachea. The age distribution of the patients was between 7 and 77 years. Of the patients with a benign tracheal stenosis, sufficient data for a retrospective analysis were available in 101 patients. The length of the resected tracheal segments varied between 2 and 6 cm which required mobilisation of the trachea and the larynx and, if necessary, incision of the pulmonary ligament. RESULTS: In 5 patients a permanent damage of the recurrent laryngeal nerve was seen, of which 4 had undergone revision surgery and 10 months after surgery 93% presented with a large and stable tracheal lumen without any relevant restenosis. Due to a restenosis of 70-80% causing dyspnea at rest, 3% of the 101 patients had to undergo revision surgery. In 4% a mild and asymptomatic restenosis of 30-40% was seen which did not require any further treatment. CONCLUSION: These results demonstrate that segmental tracheal resection can safely and effectively remove stenotic tracheal segments of up to 6 cm and is therefore the treatment of choice.
Authors: Eric M Genden; Patrick J Gannon; Shane Smith; Maria Deftereos; Mark L Urken Journal: Ann Otol Rhinol Laryngol Date: 2003-04 Impact factor: 1.547
Authors: José Manuel Palacios; David Arturo Bellido; Fernando Benjamín Valdivia; Pamela Alejandra Ampuero; Carlos Felipe Figueroa; Christian Medina; Jorge Edgardo Cervera Journal: J Thorac Dis Date: 2022-04 Impact factor: 3.005