Jan 6, 2011

Cervical tracheal resection with cricotracheal anastomosis: experience in adults with grade III-IV tracheal stenosis

The Journal of Laryngology and Otology
A M A El-FattahA Tawfik

Abstract

Laryngotracheal stenosis is currently one of the most common complications associated with nasal and orotracheal intubation and tracheotomy. Once established, tracheal stenosis can be a complex and difficult problem to manage. We retrospectively analysed 2004-2010 data for 12 male patients with postintubation cervical tracheal stenosis (grade III-IV) treated in the otolaryngology department, Mansoura University Hospitals. All patients had a tracheostomy at presentation, and all underwent tracheal resection with primary cricotracheal anastomosis and suprahyoid release. Grade III stenosis was present in five patients (41.7 per cent) and grade IV stenosis in seven patients (58.3 per cent). The length of trachea resected ranged from 2 to 4 cm, representing one to four tracheal rings. In all 12 patients, the procedure allowed successful tracheotomy decannulation. Minor complications comprised surgical emphysema (n = 2) and wound infection (n = 1), and were managed conservatively. Major complications consisted of restenosis (n = 3), managed in two patients by repeated dilatation; one patient was lost to follow up. Segmental tracheal resection with cricotracheal anastomosis was successful in 11/12 (92 per cent) patients with severe ce...Continue Reading

  • References20
  • Citations6

References

  • References20
  • Citations6

Citations

Mentioned in this Paper

Tracheostomy Route of Drug Administration
Anastomosis, Surgical
Anatomical Anastomosis
Otolaryngology Specialty
Surgical Endoscopy
Trachea
Pathological Dilatation
Cricoid Cartilage Structure
Severity of Illness Index
Tracheal Stenosis

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