[Diagnosis and treatment of patients with postintubation stenosis of the larynx and trachea].
Experience gained in the diagnosis and treatment of 498 patients with postintubation laryngotracheal stenosis is summarized. Use of accessory methods of diagnosis, such as x-ray tomography of the trachea and mediastinum and endofibroscopy of the larynx and trachea is validated. Flexible endoscopes with kits of special instruments allow decannulation without subsequent therapy in 95% patients. Simultaneous tracheoplasty and retracheostomy simplify surgical treatment of patients with postintubation laryngotracheal stenosis, making it shorter by 1-2 stages. The development of laryngotracheal stenoses depends on the duration of intubation, and hence, the optimal term for tracheostomy in patients on forced ventilation of the lungs is day 3 after intubation.
Folomeev
V N
VN
Ezhova
E G
EG
D000293:Adolescent; D000328:Adult; D000368:Aged; D002908:Chronic Disease; D004724:Endoscopy; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects* / Q000379:methods; D007828:Laryngoscopy; D007829:Laryngostenosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000601:surgery; D014135:Tracheal Stenosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D014139:Tracheostomy