[Tracheal stenosis--diagnostic and therapeutic principles, results].
Between November 2001-April 2010, 107 tracheal resections were performed in our department for different types of tracheal stenosis: iatrogenic or tumoral, benign or malignant. We present the diagnosis and treatment principles that we used, along with our results. We operated on 74 (69.15%) iatrogenic postintubation tracheal stenosis, 6 (5.6%) of them complicated with tracheo-esophageal fistula, 6 (5.6%) benign tumors, 11 (10.28%) primary malignant and 16 (14.97%) secondary malignant ones, with a 3.8% total mortality. Tracheal resection and reconstruction is the only curative treatment for all types of tracheal stenosis. Interventional endoscopy is of a major importance in the assessment and treatment of tracheal stenosis. We believe that each patient diagnosed with a tracheal stenosis should be referred to a tertiary center with multidisciplinary experience in the treatment of tracheal stenosis.
Clinica I de Chirurgie Toracica, Institutul de Pneumologie Marius Nasta Bucureşti. bolcaciprian@gmail.com
Ciprian
C
Bolca
Codin
C
Saon
Cristian
C
Paleru
Radu
R
Matache
Mihaela
M
Codreşi
Olga
O
Dănăilă
Adrian
A
Istrate
Genoveva
G
Cadar
Radu
R
Stoica
Ion
I
Cordoş
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000009:adverse effects; D002648:Child; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications / Q000601:surgery; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D014135:Tracheal Stenosis / Q000175:diagnosis* / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D014138:Tracheoesophageal Fistula / Q000175:diagnosis* / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D014139:Tracheostomy; D016896:Treatment Outcome