Tracheal Resection with End-to-End Anastomosis for Benign Tracheal Stenosis

Abstract

To review our experience with tracheal resection with end-to-end anastomosis for tracheal stenosis, we performed a retrospective review at a tertiary-care academic medical center. Twenty-eight patients underwent circumferential tracheal resection with end-to-end anastomosis by 2 attending otolaryngologists from 1989 to 2002. Patients were excluded if they were under 12 years of age or if the surgical indication was tracheal or thyroid neoplasm. The indications for tracheal resection were postintubation stenosis (n = 9; 32%), posttracheotomy stenosis (n = 7; 25%), both postintubation and posttracheotomy stenosis (n = 9; 32%), external tracheal trauma (n = 2; 7%), and presence of a foreign body (n = 1; 4%). Two to 8 rings were resected. The follow-up periods ranged from 18 months to 13.5 years. The anastomotic success rate was 89% (n = 25). No patients died as a result of the procedure. We conclude that tracheal resection with end-to-end anastomosis is a relatively safe and reliable procedure for the treatment of tracheal stenosis in appropriately selected patients.

VEGF‐Functionalized Polyelectrolyte Multilayers as Proangiogenic Prosthetic Coatings

“…Despite major developments in prosthetic technologies, artificial tracheal implants proposed until now (such as silicone, glass or silastic tubes, metallic prostheses, and others) showed limited longterm success. [25][26][27][28][29] Surgeons had to overcome endoluminal inflammatory restenosis and fibrosis associated with insufficient epithelial resurfacing, all hindering the replacement of a functional and mechanically stable neocartilage. Major efforts have been made for the design of new biocompatible materials promoting a stronger tissue integration of implants.…”

Kısa Süreli Entübasyon Sonrası Gelişen Trakeal Stenoz Olgusu

“…Trakea stenozlarının tedavisinde diatermik rezeksiyon, endoskopik lazer, dilatasyon, greft interpozisyonu, stent ve rezeksiyon gibi çeşitli seçenekler uygulanmaktadır (4,5). Rezeksiyon ve rekonstrüksiyon gerektiren en sık trakeal patoloji postentübasyon ve posttrakeostomi trakeal stenozdur.…”

Tracheal resection with end-to-end anastomosis for post-intubation cervical tracheal stenosis: study of 14 cases

“…Extreme neck flexion, aided by a chin-tochest suture, also contributes to a tension-free anastomosis. 11 Peskind et al recently advocated the routine use of a supralaryngeal release procedure (combining infrahyoid and suprahyoid elements) to decrease tension at the level of the anastomotic suture line. 7 However, in their series they noted that this procedure fixed the larynx in an abnormally low position, preventing elevation of the larynx during swallowing and thus producing post-operative dysphagia in all patients.…”

“…15 Granulation tissue at the anastomotic site is the most common complication, and is more common with the use of non-absorbable sutures. 11 Grillo et al noted that significantly fewer patients developed granulation tissue at the site of tracheal anastomosis after the suture material was changed from Tevdek to Vicryl. 6 Placing the anastomotic sutures through healthy R NANDAKUMAR, C JAGDISH, C B PRATHIBHA et al…”