title: Surgical considerations in tracheal stenosis.
abstract: From 1969 to 1990, 43 patients with tracheal stenosis were treated at the University of Mississippi Medical Center. Seventy-four percent of these patients (n = 32) had intrinsic tracheal stenosis, most frequently as a complication of prolonged endotracheal trauma. A total of 41 distinctly separate stenotic segments were identified in the 32 patients. The stenoses were considered moderate or severe in 33 (80%) of the 41 cases and the length of the stenotic segment was greater than 1 cm in 23 (56%) of the cases. An overall 70% success rate was achieved following 93 surgical procedures in this group. The concurrent presence of glottic/subglottic stenosis, multiple segments of stenosis, bilateral vocal cord paralysis, tracheoesophageal fistula, and a tendency to marked hypertrophic scar formation were found to be significant factors in the surgical management of this patient group.
authors.affiliation: Divisions of Otolaryngology, University of Mississippi Medical Center, Jackson 39216-4505.
authors.forename: V K
authors.initials: VK
authors.lastname: Anand
authors.forename: G
authors.initials: G
authors.lastname: Alemar
authors.forename: E T
authors.initials: ET
authors.lastname: Warren
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006097:Granulation Tissue / Q000601:surgery; D006801:Humans; D007627:Keloid / Q000209:etiology; D007829:Laryngostenosis / Q000150:complications / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D013514:Surgical Procedures, Operative / Q000379:methods; D014135:Tracheal Stenosis / Q000150:complications / Q000209:etiology / Q000601:surgery*; D014138:Tracheoesophageal Fistula / Q000150:complications / Q000601:surgery; D016896:Treatment Outcome; D014826:Vocal Cord Paralysis / Q000150:complications / Q000601:surgery