Tracheal Resection With Primary Anastomosis.
The aim of our study was to present our retrospective experience in the single-stage surgical reconstruction of 21 tracheal stenosis (TS) patients during the last 17 years, considering the characteristics of the treated stenosis, surgical procedures performed, and postoperative outcomes and complications. All demographic and clinical data were collected retrospectively. Chest and neck computed tomography (CT) scans were performed to assess the stenosis, including length, location, and glottic involvement. The stenotic area was evaluated endoscopically according to an adapted Myer and Cotton grading scale. The aetiology of the (TS) was intubation related in 18 patients and idiopathic in three patients. The duration of intubation was 13.00 ± 6.83 days (range, 1 hour to 27 days). According to the Myers-Cotton classification, mean stage of stenosis for the study group was 3.33 ± 0.66 (range, 2-4). Mean length of the stenosis was 2.05 ± 0.80 (range, 1-3.5) cm. The mean number of stenotic segment involved was 3.67 ± 1.24 (range, 2-6). Mean follow-up for the study group, excluding two patients who died in the postoperative period, was 57 (range, 12-326) months. Of the 19 patients who survived, postoperative decannulation was achieved in 16 patients (76.19%), and decannulation was not achieved in 3 patients (14.29%) who are still on a T-tube. Of the 16 patients who are decannulated successfully, additional procedures were applied in 9 patients. Segmental resection with primary anastomosis is an effective method and can be used as the first option in selected patients of (TS).
*Department of Otorhinolaryngology, Izmir Katip Celebi University, Ataturk Training and Research Hospital, Izmir †Department of Otorhinolaryngology, Harran University Medical Faculty, Sanliurfa, Turkey.
Yilmaz
Y
Ozkul
Murat
M
Songu
Sedat
S
Ozturkcan
Secil
S
Arslanoglu
Duzgun
D
Ates
Riza
R
Dundar
Ercan
E
Pinar
Kazim
K
Onal
D000293:Adolescent; D000328:Adult; D060666:Airway Extubation; D000714:Anastomosis, Surgical / Q000379:methods*; D002423:Cause of Death; D002648:Child; D004724:Endoscopy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D015996:Survival Rate; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods; D014135:Tracheal Stenosis / Q000145:classification / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult