title: Outcome of surgical treatment for proximal long segment post intubation tracheal stenosis.
abstract: BACKGROUND
  Post intubation long segment tracheal stenosis is a serious problem which usually requires multiple methods of treatment. The aim of this study was to evaluate the results of surgical treatment in long segment post intubation tracheal stenosis.
  
  
  METHODS
  Between 2004 to 2008, 20 patients with proximal long segment tracheal stenosis and resection of over 40% of tracheal length, were analyzed in terms of age, sex, clinical symptoms, etiology of stenosis, length of stenosis and resection, role of suprahyoeid release with bilateral hyoeid bone cutting maneuver, post operative complications and life quality 3 year after surgery.
  
  
  RESULTS
  M/F was 2/5, with the average age of 23.5 ± 0.5 years. Average length of stenosis was 4.2 ± 0.4 cm and the average length of resected segment was 5.2 ± 0.4 cm. Early postoperative complications occurred in 4 patients (20%), 5 patients (25%) had late stenosis and 4 of them were treated with multiple dilation and one patient needed tracheostomy and prolonged T. tube. We didn't have any mortality. 80% of patients had excellent surgical results in follow up period.
  
  
  CONCLUSIONS
  Surgery is the best method of treatment in long and multi segment tracheal stenosis.
authors: Cardio - Thoracic Surgery & Transplant Research Center, Emam Reza hospital, Faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors: Reza
authors: R
authors: Bagheri
authors: Mohammadreza
authors: M
authors: Majidi
authors: Ehsan
authors: E
authors: Khadivi
authors: Alireza Sharifian
authors: AS
authors: attar
authors: Azadeh
authors: A
authors: Tabari
mesh_terms: D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D008297:Male; D013510:Pulmonary Surgical Procedures / Q000379:methods*; D011788:Quality of Life; D012307:Risk Factors; D014132:Trachea / Q000473:pathology / Q000601:surgery; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult