[Treatment of sclerotic stenosis of trachea].
An evident trend towards the increase of postintubational and posttracheostomic tracheal stenoses is observed in Georgia during the past 10-12 years. For example, during the period of 1998-2001 28 patients were admitted to our center with this diagnosis, while during 2001-2004 we treated 61 similar cases. According to several international publications overall frequency of postventilatory laryngotracheal stenoses is as high as 25%. At present time surgical intervention remains as a method of choice for treatment of tracheal stenoses including circular resection, step by step reconstructive plastic operations and different methods of tracheal recanalization. 89 patients 14-68 years of age were treated in our center during 1998-2004. 61 (68,5%) cases were presented with pathology within the cervical part of trachea and larynx. 28 (31,5%) cases were with intrathoracic tracheal stenosis. In 71 (79,8%) cases stenoses were induced by pulmonary ventilation by endotracheal tube and in 18 (20,2%) cases etiologic factor was posttracheostomic tracheal injury. Duration of intubations varied from 3 to 86 days. Mortality was 3 cases out of 89. In 2 cases mortality was due to anastomotic leakage, in 1 case--bleeding from brachiocephalic vessels. Based on our experience, an accurate follow up of diagnostic and treatment algorithms allows achievement of good results in 91% cases.
Katsarava
V Sh
VSh
Gobechiia
K N
KN
Gobechiia
R D
RD
Katsarava
L V
LV
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000465:Algorithms; D001999:Bronchoscopy; D002921:Cicatrix; D004106:Dilatation; D006801:Humans; D015994:Incidence; D007442:Intubation, Intratracheal / Q000009:adverse effects; D008875:Middle Aged; D012121:Respiration, Artificial / Q000009:adverse effects; D013997:Time Factors; D014135:Tracheal Stenosis / Q000453:epidemiology / Q000209:etiology / Q000401:mortality / Q000601:surgery* / Q000628:therapy; D014139:Tracheostomy / Q000009:adverse effects; D016896:Treatment Outcome