Surgical Treatment of Benign Tracheal Stenosis: Analysis of Twenty-One Patients

doi:10.12996/gmj.2019.36

Abstract

Highlights

Today in parallel with the technological advancements endoscopic techniques are used in the diseases of trachea, tracheal surgery is still relevant and performed in many patients
16 were approached with collar incision, 3 with collar + sternotomy, and 2 with sternotomy alone. It was seen in the bronchoscopy performed before resection that 90.4% had stenosis in upper one third of the trachea (n: 19), while hyoid membrane was involved in the subglottic stenosis in one patient
The most common cause of benign tracheal stenosis is postintubation tracheal stenosis, numerous reasons have been reported in the literature including systemic disorders such as toxic inhalations, thoracic trauma, tracheobronchial tuberculosis and more rarely relapsing polychondritis, Wegener granulomatosis or amyloidosis [6,7-8]

Summary

Objective

The objective of this study was to retrospectively evaluate 21 cases of tracheal stenosis that underwent surgery due to benign tracheal stenosis. Methods: A total of 21 patients who underwent surgery due to benign tracheal stenosis in our clinic between 2010 and 2017 were retrospectively evaluated. The patients were analyzed in terms of age, gender, surgical indication, surgical approach, comorbidities, length of the trachea resected, postoperative complications, the duration of hospitalization and development of restenosis. Collar incision was performed in 16, collar and sternotomy incision in 3, and sternotomy incision in 2 patients. Amaç: Bu çalışmanın amacı benign trakeal stenoz nedeniyle opere edilen 21 trakeal stenoz vakasını retrospektif olarak değerlendirmektir. Yöntemler: 2010-2017 yılları arasında kliniğimizde bening trakeal stenoz nedeniyle opere edilen toplam 21 hasta retrospektif olarak değerlendirildi. Sonuç: Trakeal cerrahi, çoğunlukla benign hastalıklar nedeniyle uygulanır, malign hastalıklara göre çoğunlukla düşük morbidite ve mortalite oranları ile yapılır ve sonuçlar genellikle tatmin edicidir

INTRODUCTION

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DISCUSSION