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Abstract
Tracheal stenosis is a serious, life-threatening disease with increasing incidence. Among these stenoses, the number of complicated tracheal lesions, where a resection and anastomosis is not successful or not applicable, is also increasing significantly. These acute situations often need to be managed by a combined surgical technique. The present paper is dedicated to this topic; the management of combined surgical and endoscopic technique in case of complicated long tracheal stenosis.
Highlights
Nowadays, the topic of tracheal stenting is becoming more and more topical, mainly due to the growing problems with acquired postintubation and/or posttracheostomy stenoses [1,2,3].The management of an obstructive tracheal lesion, which develops as a result of long-term intubation, is a complex issue that requires an individual approach
The number of complicated tracheal lesions, where its resection and anastomosis are not successful or not applicable, increases and the situation requires a solution by an endoprosthesis [5,6,7]
Only a brief description of its most important steps is given: Surgical approach should provide the best exposure of the trachea, and its chosen type depends on the level of the stenotic lesion; for the proximal lesion, the cervical incision is preferred, for the middle and the distal part of trachea, the median sternotomy and the posterolateral thoracotomy are the recommended approaches
Summary
The topic of tracheal stenting is becoming more and more topical, mainly due to the growing problems with acquired postintubation and/or posttracheostomy stenoses [1,2,3]. A fully developed stenotic lesion with a high degree of obstruction, which is manifested a certain time later after extubation, requires radical surgical resection. As is known, this solution is not always feasible [4,5]. The number of complicated tracheal lesions, where its resection and anastomosis are not successful or not applicable, increases and the situation requires a solution by an endoprosthesis [5,6,7]. The present paper is dedicated to this topic; the management of complicated long tracheal stenosis by the combination of stenting and surgical techniques
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