Abstract
Background: Tracheal stenosis is more frequent as a result of wide-spread use of endotracheal intubation and tracheostomy. Resection and tracheal reconstruction remain the treatment of choice in benign tracheal stenosis. Objectives: To report our experience in Basra and to identify the result of anastomosis after tracheal resection and management of those patients preoperatively and postoperatively. Methodology: A descriptive study of sixteen patients (aged 11–28 years, 10 male and 6 female) with tracheal stenosis who underwent tracheal resection and reconstruction in Basrah thoracic unit (Basra teaching hospital) from January 2008 to January 2011. Results: The result was excellent in 62.5%, good in 25%, and satisfactory in 12.5%. Postoperative complication occurred in 25% and treated successfully with no mortality. Follow-up was every 3 months for an average of 3.6 years. Conclusion: Resection and tracheal reconstruction is the treatment of choice in benign tracheal stenosis and achieved excellent results in management of the patients.
Highlights
Tracheal stenosis is more frequent as a result of wide-spread use of endotracheal intubation and tracheostomy
Resection and tracheal reconstruction remain the treatment of choice in benign tracheal stenosis
Resection and tracheal reconstruction is the treatment of choice in benign tracheal stenosis and achieved excellent results in management of the patients
Summary
Tracheal stenosis is still observed due to increasing number of patients having tracheostomy and prolonged endotracheal intubation[1,2,3] for respiratory support which are the main causes of stenosis (up to 67%).[1,2,4] Other causes of tracheal stenosis are less common; they may result from laryngeal or tracheal trauma, chemical burn and radiotherapy. Despite the different approaches developed recently, tracheal resection and end-to-end anastomosis of the trachea is an effective treatment for stenosis with high success rates.[3,7,8] The aim of this article is to report our experience of tracheal stenosis treatment in 16 patients in the period from January 2008 to January 2011 with an average follow-up period of 3.6 years. Tracheal stenosis is more frequent as a result of wide-spread use of endotracheal intubation and tracheostomy. Resection and tracheal reconstruction remain the treatment of choice in benign tracheal stenosis
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