[Resection with end-to-end anastomosis for postintubation tracheal stenosis].
OBJECTIVE
To study results of resection and end-to-end anastomosis in tracheal stenosis (TS).


METHODS
Retrospective review of 14 patients with previous long-term intubation and residual tracheal stenosis, all operated on with resection and end-to-end anastomosis. We studied the percentage of surgical success, decannulation index, use of Montgomery T tube, and complications.


RESULTS
We performed a total of 42 interventions (mean, 2.93) and 19 T-Montgomery tubes were used. We achieved surgical success in 85.12 % of patients, with a decannulation index of 71.42 %. Two patients developed granulomas in the suture field that required treatment with endoscopic laser and cryotherapy. One patient died intraoperatively.


CONCLUSIONS
Surgical resection with end-to-end anastomosis and insertion of a T-Montgomery tube is a useful technique in post-intubation tracheal stenosis despite involving multiple interventions in a large percentage of patients.
Babarro Fernández
Rosa
R
Servicio de Otorrinolaringología, Hospital Universitario Juan Canalejo, A Coruña, España. rbabfer@hotmail.com
Martínez Morán
Alejandro
A
Martínez Vidal
José
J
Vázquez Barro
Juan Carlos
JC
Sarandeses García
Adolfo
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014132:Trachea / Q000601:surgery*; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery*