Post tracheostomy and post intubation tracheal stenosis: Report of 31 cases and review of the literature

Zias, Nikolaos; Chroneou, Alexandra; Tabba, Maher; Gonzalez, Anne V.; Gray, Anthony W.; Lamb, Carla; Riker, David; Beamis, John F.

doi:10.1186/1471-2466-8-18

Cited by 214 publications

(234 citation statements)

References 38 publications

(48 reference statements)

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“…Tracheal stenosis is narrowing of the tracheal lumen from fibrosis or granulation tissue formation after intubation or tracheostomy tube placement with an incidence as high as 85% (56). Only 3-12% are clinically important and require further intervention (48).…”

Section: Complications Of Tracheostomymentioning

confidence: 99%

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Percutaneous tracheostomy: a comprehensive review

Rashid

Islam

2017

J. Thorac. Dis.

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Tracheostomy is a common procedure. It can be done surgically or percutaneously by dilating the stoma using Seldinger technique. Percutaneous tracheostomy (PT) is now routinely performed by surgeons and non-surgeons such as intensivists and anesthesiologists in the intensive care units (ICU) all over the world.Although obesity, emergent tracheostomy, coagulopathy, inability to extend the neck and high ventilator demand (HVD) were initially thought to be a relative contraindication, recent data suggest safety of PT in these patient population. Ultrasound can be helpful in limited cases to identify the neck structure especially in patients with a difficult anatomy. Bronchoscopy during PT can shorten the duration and avoid complications.PT has favorable complication rate, lower infection rate, shorter procedural duration and is cost-effective.Experience with the technique and careful planning is needed to minimize any avoidable potential complication.

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Section: Complications Of Tracheostomymentioning

confidence: 99%

“…Rigid or flexible bronchoscopy with radial resection of the stenotic area with cautery knife, balloon dilation, cryotherapy, mitomycin application are possible treatment options before considering surgical resection (56).…”

Section: Complications Of Tracheostomymentioning

confidence: 99%

Percutaneous tracheostomy: a comprehensive review

Rashid

Islam

2017

J. Thorac. Dis.

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“…Stenosis related to intubation tube is usually greater than cannula stenosis. [21] Many studies have reported the relationship between prolonged intubation and frequency of tracheal stenosis; however, to our knowledge, no study has been conducted showing the relationship between intubation duration and stenotic segment length in the literature. According to the literature findings, the most important factor affecting resection length is the number of stenotic areas.…”

Section: Discussionmentioning

confidence: 86%

Does duration of mechanical ventilation affect the resection length in benign tracheal stenosis?

Altuntas¹

2016

Turk Gogus Kalp Dama

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“…In a study by Zeis et al [9] the length of stenosis was 2.6 cm in postintubation stenosis compared to 3.57 cm in posttracheostomy. In our study average length of tracheal stenosis was 2.33 cm in both postintubation and post tracheostomy.…”

Section: Etiopathogenesismentioning

confidence: 90%

Management of Post-traumatic Laryngotracheal Stenosis: Our Experience

Kandakure

Mishra

Lahane

2014

Indian J Otolaryngol Head Neck Surg

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To describe our experience in management of post-traumatic laryngo-tracheal stenosis by study of various surgical methods. To compare our results with different studies. To find out best surgical procedure. Retrospective study. 13 patients of LTS were analyzed within the period of 2009-2013 highlighting the important causes of stenosis, management based on type and severity of stenosis and outcome following the treatment given. Cases were diagnosed in detail with help of flexible laryngoscopy. Finer details of stenosis like site, length, associated injuries were studied with help of CT scan. Various modalities of treatment were used and outcome was assessed. There were 13 patients 9 males and 4 females. Of these 54 % had iatrogenic stenosis and 46 % had traumatic stenosis. 46 % had true stenosis, remaining cases suffered from either soft stenosis or had associated injuries rendering the stenosis as a complex one. The patients underwent a combined surgical approach which included treatment modalities like T-tube insertion, endoscopic dilatation, laser, and open surgical intervention (tracheal resection and anastomosis). Of all the patient treated 69.2 % were successfully decannulated and recovered well with a satisfactory airway outcome, (23.07 %) cases remained T-tube dependent, 8 % case died due to septicemia. It was evident that prolonged intubation remained most common cause of tracheal stenosis and the management varied depending on the type of stenosis. Simple soft stenosis could be managed well by endoscopic dilatation and laser while complete, complex stenosis required surgical intervention in form of T-tube stenting or open surgical intervention. Tracheal stenosis is a life threatening complication and difficult to manage. It requires multiple approaches and the successful outcome is assessed by patent airway and voice quality.

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Post tracheostomy and post intubation tracheal stenosis: Report of 31 cases and review of the literature

Cited by 214 publications

References 38 publications

Percutaneous tracheostomy: a comprehensive review

Percutaneous tracheostomy: a comprehensive review

Does duration of mechanical ventilation affect the resection length in benign tracheal stenosis?

Management of Post-traumatic Laryngotracheal Stenosis: Our Experience

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