OBJECTIVE: To study results of resection and end-to-end anastomosis in tracheal stenosis (TS). PATIENTS AND METHOD: Retrospective review of 14 patients with previous long-term intubation and residual tracheal stenosis, all operated on with resection and end-to-end anastomosis. We studied the percentage of surgical success, decannulation index, use of Montgomery T tube, and complications. RESULTS: We performed a total of 42 interventions (mean, 2.93) and 19 T-Montgomery tubes were used. We achieved surgical success in 85.12 % of patients, with a decannulation index of 71.42 %. Two patients developed granulomas in the suture field that required treatment with endoscopic laser and cryotherapy. One patient died intraoperatively. CONCLUSIONS: Surgical resection with end-to-end anastomosis and insertion of a T-Montgomery tube is a useful technique in post-intubation tracheal stenosis despite involving multiple interventions in a large percentage of patients.
OBJECTIVE: To study results of resection and end-to-end anastomosis in tracheal stenosis (TS). PATIENTS AND METHOD: Retrospective review of 14 patients with previous long-term intubation and residual tracheal stenosis, all operated on with resection and end-to-end anastomosis. We studied the percentage of surgical success, decannulation index, use of Montgomery T tube, and complications. RESULTS: We performed a total of 42 interventions (mean, 2.93) and 19 T-Montgomery tubes were used. We achieved surgical success in 85.12 % of patients, with a decannulation index of 71.42 %. Two patients developed granulomas in the suture field that required treatment with endoscopic laser and cryotherapy. One patient died intraoperatively. CONCLUSIONS: Surgical resection with end-to-end anastomosis and insertion of a T-Montgomery tube is a useful technique in post-intubation tracheal stenosis despite involving multiple interventions in a large percentage of patients.
Authors: Nikolaos Zias; Alexandra Chroneou; Maher K Tabba; Anne V Gonzalez; Anthony W Gray; Carla R Lamb; David R Riker; John F Beamis Journal: BMC Pulm Med Date: 2008-09-21 Impact factor: 3.317