title: Tracheal stenosis aftertracheostomy or intubation: review with special regard to cause and management.
abstract: To investigate the management outcomes of patients who developed tracheal stenosis after tracheostomy or intubation, we reviewed the courses of 45 patients who had experienced tracheal stenosis at a single institution, over 19 years from February 1985 through January 2004. There were 38 tracheal and 7 infraglottic stenoses. Twenty-nine stenoses were associated with the stoma, 12 with the cuff, and 2 with the endotracheal tube resulting in infraglottic lesions; the remaining 2 were double stenoses. Eleven patients were treated by bronchoscopic surgery, and 34 patients were treated by tracheal or laryngotracheal resection. The overall success rate was 93%. The complication rate was 18%. A 2nd operation was required in 3 patients, and 1 of the 3 died of sepsis. Our management strategy of treating tracheal stenosis with resection and end-to-end anastomosis has been associated with good outcomes. Management of infraglottic stenosis is difficult, particularly when there is a large laryngeal defect or when there have been previous surgical attempts at the same site.
authors.affiliation: Department of Thoracic Surgery, Akdeniz University Medical School, Antalya, Turkey. asarper@akdeniz.edu.tr
authors.forename: Alpay
authors.initials: A
authors.lastname: Sarper
authors.forename: Arife
authors.initials: A
authors.lastname: Ayten
authors.forename: Irfan
authors.initials: I
authors.lastname: Eser
authors.forename: Omer
authors.initials: O
authors.lastname: Ozbudak
authors.forename: Abid
authors.initials: A
authors.lastname: Demircan
mesh_terms: D000328:Adult; D000768:Anesthesia, General; D001999:Bronchoscopy; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007830:Larynx / Q000601:surgery; D008297:Male; D014132:Trachea / Q000601:surgery; D014135:Tracheal Stenosis / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery*; D014139:Tracheostomy / Q000009:adverse effects*