Tracheal stenosis. A study of 100 cases.
A series of 100 cases of tracheal stenoses, 66 non-neoplastic and 34 neoplastic, are reviewed; tracheal resection was performed in 28 inflammatory stenoses and in five tumours. A T-tube stent was used in 12 patients. Results were good in 81% of resections for non-neoplastic stenoses; two out of three resections for adenoid cystic carcinoma are alive after ten years and the third died after two years with metastases; two patients who received a tracheal resection for epidermoid carcinomas died after three and four years with metastases. Inflammatory tracheal stenoses treated using T-tube achieved good results only in one third of cases. Pre-operative preparation is the most important factor to obtain good results: end-to-end anastomosis requires a healthy mucosa without infection or ulcers.
Maggi
G
G
Department of Thoracic Surgery, University of Turin, Italy.
Ardissone
F
F
Cavallo
A
A
Oliaro
A
A
Scappaticci
E
E
Giobbe
R
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D003528:Carcinoma, Adenoid Cystic / Q000150:complications / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care; D015607:Stents; D014134:Tracheal Neoplasms / Q000150:complications / Q000601:surgery; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery*