title: [Surgical and combined correction of tracheal and laryngotracheal cicatricial stenosis and restenosis].
abstract: OBJECTIVE
  To improve treatment of patients with cicatricial tracheal stenosis using different methods of recanalization and circular resection.
  
  
  METHODS
  Analysis involved 57 patients with cicatricial tracheal stenosis including 2 post-traumatic cases, 27 post-intubation cases, 25 cases after tracheostomy and 3 restenoses after previous circular resection. There were 5 cases of tracheal stenosis combined with tracheoesophageal fistula, 1 patient with chest nodular goiter, 8 cases of unclosed tracheostomy and 3 patients with long-existing laryngotracheal fissure. There were 25 women and 32 men aged 15-65 years. Stenosis length ranged from 3.0 to 4.5 cm in 66.6% of patients. There were 13 (22.8%) patients with subcompensated stenosis (d=0.5-0.7 cm) and 44 (77.2%) cases of decompensated stenosis (d<0.5 cm) combined with suppurative tracheobronchitis that required endosurgical recanalization with stenting or balloon dilatation. 45 patients underwent upper tracheal third resection, 9 - middle third resection, 3 - upper third and cricoid cartilage resection. Length of excised segment was 2.5-9.5 cm. Simultaneous suturing of esophageal anterior wall defect was performed in 5 cases.
  
  
  RESULTS
  Complete recovery of tracheal lumen was achieved in 54 patients (93%). Restenosis occurred in 4 (7%) cases (3 of them underwent repeated resection with good results and 1 - stenting).
  
  
  CONCLUSIONS
  Circular resection is optimal treatment of cicatricial tracheal stenosis. Endosurgical recanalization is preparatory method prior to radical surgery.
authors.affiliation: University's Clinical Hospital #4 of the Chair of Faculty Surgery #2, Medical Faculty of the Sechenov First Moscow State Medical University, Moscow, Russia.
authors.forename: O O
authors.initials: OO
authors.lastname: Yasnogorodsky
authors.affiliation: University's Clinical Hospital #4 of the Chair of Faculty Surgery #2, Medical Faculty of the Sechenov First Moscow State Medical University, Moscow, Russia.
authors.forename: A M
authors.initials: AM
authors.lastname: Shulutko
authors.affiliation: University's Clinical Hospital #4 of the Chair of Faculty Surgery #2, Medical Faculty of the Sechenov First Moscow State Medical University, Moscow, Russia.
authors.forename: T P
authors.initials: TP
authors.lastname: Pinchuk
authors.affiliation: University's Clinical Hospital #4 of the Chair of Faculty Surgery #2, Medical Faculty of the Sechenov First Moscow State Medical University, Moscow, Russia.
authors.forename: M V
authors.initials: MV
authors.lastname: Taldykin
authors.affiliation: University's Clinical Hospital #4 of the Chair of Faculty Surgery #2, Medical Faculty of the Sechenov First Moscow State Medical University, Moscow, Russia.
authors.forename: A S
authors.initials: AS
authors.lastname: Kachikin
authors.affiliation: University's Clinical Hospital #4 of the Chair of Faculty Surgery #2, Medical Faculty of the Sechenov First Moscow State Medical University, Moscow, Russia.
authors.forename: Yu A
authors.initials: YA
authors.lastname: Katanae
authors.affiliation: University's Clinical Hospital #4 of the Chair of Faculty Surgery #2, Medical Faculty of the Sechenov First Moscow State Medical University, Moscow, Russia.
authors.forename: A Yu
authors.initials: AY
authors.lastname: Moiseev
authors.affiliation: University's Clinical Hospital #4 of the Chair of Faculty Surgery #2, Medical Faculty of the Sechenov First Moscow State Medical University, Moscow, Russia.
authors.forename: Yu V
authors.initials: YV
authors.lastname: Gur'yanova
authors.affiliation: University's Clinical Hospital #4 of the Chair of Faculty Surgery #2, Medical Faculty of the Sechenov First Moscow State Medical University, Moscow, Russia.
authors.forename: F N
authors.initials: FN
authors.lastname: Nasirov
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002921:Cicatrix / Q000209:etiology / Q000601:surgery; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D007829:Laryngostenosis / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D014132:Trachea / Q000601:surgery*; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery*; D055815:Young Adult