[Resection with end-to-end anastomosis for postintubation tracheal stenosis]. 2007

Rosa Babarro Fernández, and Alejandro Martínez Morán, and José Martínez Vidal, and Juan Carlos Vázquez Barro, and Adolfo Sarandeses García
Servicio de Otorrinolaringología, Hospital Universitario Juan Canalejo, A Coruña, España. rbabfer@hotmail.com

OBJECTIVE To study results of resection and end-to-end anastomosis in tracheal stenosis (TS). METHODS Retrospective review of 14 patients with previous long-term intubation and residual tracheal stenosis, all operated on with resection and end-to-end anastomosis. We studied the percentage of surgical success, decannulation index, use of Montgomery T tube, and complications. RESULTS We performed a total of 42 interventions (mean, 2.93) and 19 T-Montgomery tubes were used. We achieved surgical success in 85.12 % of patients, with a decannulation index of 71.42 %. Two patients developed granulomas in the suture field that required treatment with endoscopic laser and cryotherapy. One patient died intraoperatively. CONCLUSIONS Surgical resection with end-to-end anastomosis and insertion of a T-Montgomery tube is a useful technique in post-intubation tracheal stenosis despite involving multiple interventions in a large percentage of patients.

UI MeSH Term Description Entries
D007442 Intubation, Intratracheal A procedure involving placement of a tube into the trachea through the mouth or nose in order to provide a patient with oxygen and anesthesia. Intubation, Endotracheal,Endotracheal Intubation,Endotracheal Intubations,Intratracheal Intubation,Intratracheal Intubations,Intubations, Endotracheal,Intubations, Intratracheal
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000714 Anastomosis, Surgical Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side. Surgical Anastomosis,Anastomoses, Surgical,Surgical Anastomoses
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective

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