Stenosis following tracheostomy

Friman, Leif; Hedenstierna, Göran; Schildt, B.

doi:10.1111/j.1365-2044.1976.tb12353.x

Cited by 43 publications

(10 citation statements)

References 20 publications

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“…Subclinical tracheal stenoses seem to be less severe after PDT than following open tracheostomy. Previous investigations of surgical tracheostomies had described these stenoses in 74.3 % [33] and 60 % [24], respectively. An explanation could be the minor tracheal wall damage with PDT, which first morphological investigations indicate [34,35].…”

Section: Discussionmentioning

confidence: 99%

Percutaneous dilatational tracheostomy — early results and long-term outcome of 326 critically ill patients

et al. 1998

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Section: Discussionmentioning

confidence: 99%

Percutaneous dilatational tracheostomy — early results and long-term outcome of 326 critically ill patients

et al. 1998

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“…When the tracheal tube is removed from the stoma, cartilage healing occurs by fibrosis and wound contraction. Inward collapse of the lateral and anterior tracheal walls is a consequence of this fibrotic healing process and results in a triangular narrowing of the tracheal orifice [145,147,148,[151][152][153] (Fig 10). Many studies have shown that tracheal stenosis at the stoma commonly occurs after decannulation and stomal closure [35,42,77,86,145,146,149,[154][155][156][157].…”

Section: Important Clinical Laryngeal Complications Of Translaryngealmentioning

confidence: 98%

“…Arola and colleagues [150] showed that some degree of stomal stenosis occurs in 85% of patients after tracheostomy decannulation. Tracheal stenosis at the stoma site is usually well tolerated but can cause dyspnea and difficulty in raising phlegm [153]. In a small percentage of patients the insidious onset of dyspnea weeks to months after tracheostomy decannulation was not recognized as being due to tracheal stenosis and eventually resulted in death from airway obstruction [145].…”

Section: Important Clinical Laryngeal Complications Of Translaryngealmentioning

confidence: 99%

Prolonged Intubation Versus Tracheostomy in the Adult

Colice

1987

J Intensive Care Med

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The development of mechanical ventilators that can en sure adequate respiration for long periods of time has led to the problem of determining how to best integrate patients into the machine's airflow circuits. Tracheal tubes with inflatable cuffs efficiently connect the patient to the machine, but the tubes may be placed in one of two ways. Each option has relative advantages and disad vantages. Translaryngeal intubation (TLI) can be per formed safety and quickly and is the preferred first step in airway management. However, when TLI is needed for prolonged periods, it may damage the larynx. Tra cheostomy, on the otherhand, has potential operative and tracheal complications, but presents little risk to the larynx and may be better tolerated by the patient requir ing long-term intubation. This review provides a histor ical background of these two methods and analyzes their respective advantages and complications. Guide lines for the optimal use of TLI and tracheostomy, par ticularly in adult patients requiring long-term intuba tion, are developed by comparing the risks and benefits of these two methods.

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“…So fanden wir nur eine klinisch erkennbare Trachealverengung unter 106 Patienten nach Punktionstracheostomie [79]. Dementsprechend sind auch subklinische Trachealstenosen weniger stark ausgeprägt [31,62,79]. Die Seltenheit von schwergradigen Tracheal-stenosen nach Punktionstechnik dürfte auf die im Vergleich zum konventionellen Eingriff geringere Schädigung der Trachealvorderwand zurückzuführen sein [45,76].…”

Section: Indikationen Und Kontraindikationenunclassified

Die Tracheostomie

Walz¹

2002

Der Anaesthesist

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Tracheostomy is one of the oldest procedures in surgery. Although it was traditionally used for treatment of upper airway stenosis, the primary surgical indication is now in the long-term intensive care unit patient. Here, the aims are avoidance of damage to the larynx, earlier weaning from artificial respiration and improved nursing care. Apart from the conventional operating method, minimally invasive procedures have been increasingly employed. More than 20,000 ICU patients per annum are now treated in Germany by these modern methods. Common features of these procedures are the initial puncture of the trachea with subsequent dilatation of the puncture channel. Current meta-analyses of prospectively randomised studies show a lower complication rate than with conventional methods. Furthermore, serious sequelae such as tracheal stenosis are rare in the long-term course. However, conventional operative tracheostomy still has its place, particularly in circumstances where the new methods are contraindicated.

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Stenosis following tracheostomy

Cited by 43 publications

References 20 publications

Percutaneous dilatational tracheostomy — early results and long-term outcome of 326 critically ill patients

Percutaneous dilatational tracheostomy — early results and long-term outcome of 326 critically ill patients

Prolonged Intubation Versus Tracheostomy in the Adult

Die Tracheostomie

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