title: Reinforcement of an end-to-end tracheal resection anastomosis with fibrin glue: a case report.
abstract: Tracheal resection and primary anastomosis is the treatment of choice for a short-segment stenosis. However, the procedure does carry the risk of two potentially fatal complications: anastomosis breakdown and leak. We describe the case of a 67-year-old man who was treated for a 3-cm tracheal stenosis secondary to a prolonged intubation and multiple tracheostomies. The patient underwent a tracheal resection and primary anastomosis. The anastomosis was reinforced with fibrin sealant, which created an airtight seal. The patient was extubated postoperatively, and he healed without complication. Fibrin sealant is a convenient, safe, and effective material for reinforcing anastomotic suture lines.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Weill Medical College, New York Presbyterian Hospital, New York City, USA. jhuo@mail.med.cornell.edu
authors.forename: A
authors.initials: A
authors.lastname: Kacker
authors.forename: J
authors.initials: J
authors.lastname: Huo
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods*; D001999:Bronchoscopy; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D008297:Male; D012307:Risk Factors; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000517:prevention & control; D014014:Tissue Adhesives / Q000627:therapeutic use*; D014132:Trachea / Q000601:surgery*; D014135:Tracheal Stenosis / Q000145:classification / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D014139:Tracheostomy / Q000009:adverse effects; D016896:Treatment Outcome
chemical_list: D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives