[Surgical and/or endoscopic treatment of acquired tracheal stenosis in adult patients].
OBJECTIVE
Retrospective survey (over 13 Years) of the surgical treatment of 46 acquired tracheal stenosis, in adult patients. Our goals were to study their epidemiology, changes in the surgical technique with the cervical or endoscopic approach, and the recent contribution of endoprotheses.


METHODS
Sixty-six therapeutic procedures were performed for 46 tracheal stenoses. Most of stenoses were post-intubation and/or post-tracheotomy and were fixed in 50% of the cases. We used 21 sleeve resections with end-to-end anastomoses, 9 tracheal stents, 27 dilations, 6 calibrations, and 3 electro-coagulations.


RESULTS
The sleeve resection gave 91% success (1 failure and 1 death). The endoscopic treatments were less efficient: 79% for tracheal stents (2 mobilizations), 50% success for iterative dilations. The respiratory tests were meaningfully improved with a mean follow-up of 18 Months.


CONCLUSIONS
Sleeve resection remains the gold standard treatment. For all temporary or definitive contraindications to open surgery, tracheal stents would be an excellent alternative to avoid often inefficient iterative dilations.
Cuisnier
O
O
Clinique ORL, Service ORL du Pr Reyt, CHU Michallon, 38043 Grenoble Cedex 09. OCuisnier@chu-grenoble.fr
Righini
Ch
Ch
Pison
Ch
Ch
Ferretti
G
G
Reyt
E
E
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery*