title: Tracheal resection with end-to-end anastomosis for post-intubation cervical tracheal stenosis: study of 14 cases.
abstract: OBJECTIVE
  The incidence of acquired laryngeal stenosis is increasing. This retrospective study aimed to assess the long term results of circumferential resection with end-to-end tracheal anastomosis for isolated post-intubation stenosis of the cervical trachea, and to review the relevant literature.
  
  
  METHODS
  Twelve male and two female patients (aged 16-30 years, mean age 24 years) treated between February 2003 and December 2008 were included. Hospital and office records were reviewed and relevant surgical details recorded.
  
  
  RESULTS
  Indications for tracheal resection anastomosis were post-intubation stenosis (78.57 per cent) and trauma (21.42 per cent). One to five tracheal rings were resected (i.e. 1-2.5 cm of cervical trachea). Tracheal anastomosis was considered successful if the patient remained asymptomatic for 24 months of close follow up (involving regular flexible bronchoscopy and neck X-ray). The anastomotic success rate was 92.85 per cent.
  
  
  CONCLUSIONS
  Tracheal resection and end-to-end anastomosis is relatively safe and reliable for definitive treatment of benign tracheal stenosis in appropriate patients. Local application of mitomycin C prevents granulation and aids long term airway patency.
authors: Department of Otorhinolaryngology and Head and Neck Surgery, St John's Medical College and Hospital, Bangalore, India. nandakumarrajan@yahoo.com
authors: R
authors: R
authors: Nandakumar
authors: C
authors: C
authors: Jagdish
authors: C B
authors: CB
authors: Prathibha
authors: C
authors: C
authors: Shilpa
authors: V
authors: V
authors: Sreenivas
authors: A M
authors: AM
authors: Balasubramanya
authors: R C
authors: RC
authors: Nayar
mesh_terms: D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods* / Q000706:statistics & numerical data; D000903:Antibiotics, Antineoplastic / Q000627:therapeutic use; D005260:Female; D006097:Granulation Tissue; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007829:Laryngostenosis / Q000453:epidemiology / Q000601:surgery; D008297:Male; D016685:Mitomycin / Q000627:therapeutic use; D012189:Retrospective Studies; D013536:Suture Techniques; D014135:Tracheal Stenosis / Q000453:epidemiology / Q000601:surgery*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology; D055815:Young Adult
chemical_list: D000903:Antibiotics, Antineoplastic; D016685:Mitomycin