[Results of transverse tracheal resection in post-intubation tracheal stenoses].
Tracheal problems in form of stenosis and malacia are a calculated risk of long-term tracheal intubation. Results with conservative treatment of such problems by bougienage, laser therapy, biopsy, cryotherapy, local steroids, tracheal stenting, and tracheostomy are not satisfactory in a higher percentage of cases. Resectional therapy of benign tracheal lesions has become an established technique, which combines excellent functional results with a low complication incidence. We have treated 40 patients of 17 to 76 years of age with postintubation tracheal lesions by cross resection of the affected segment. Of these patients 40% had received conservative therapeutical steps preoperatively. The mean resection length was 3.0 cm (1.5 to 6.5 cm). The perioperative morbidity was 7.8%, mortality was 2.5%. 85% of the patients operated between 1970 and 1989 were reached for a follow-up examination with x-ray, pulmonary function test and endoscopy. The patients subjective satisfaction with the operative result was good in 85%, minor in 12% and less in 3%. The objective investigations proved very good results in 90%. Our experience confirm the good results of other authors and recommend the resection treatment for cases of postintubation tracheal lesions.
II. Chirurgische Universitätsklinik Wien.
M R
MR
Müller
W
W
Klepetko
M
M
Rogy
F
F
Eckersberger
E
E
Wolner
D000293:Adolescent; D000328:Adult; D000368:Aged; D002921:Cicatrix / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D014132:Trachea / Q000601:surgery; D014135:Tracheal Stenosis / Q000601:surgery*; D014139:Tracheostomy / Q000295:instrumentation*
Ergebnisse mit der queren Trachealresektion bei Postintubations-Trachealstenosen.