Management of Post-intubation Tracheal Stenosis

Faculty Medicine Year: 2021
Type of Publication: ZU Hosted Pages:
Authors:
Journal: Journal of Cardiovascular Disease Research E manuscript services Volume:
Keywords : Management , Post-intubation Tracheal Stenosis    
Abstract:
Background Surgical resection and re-anastomosis are considered the most appropriate approaches to treat post-intubation tracheal stenosis (PITS). Bronchoscopic methods can be utilized as palliative therapy in patients who are ineligible for surgical treatment or who develop post-surgical re-stenosis. This study aimed to evaluate surgical intervention in post-intubation tracheal stenosis patients either open or endoscopic in management of post-intubation tracheal stenosis and to evaluate efficiency of repeated bronchoscopic dilatation. Patient and methods: A prospective and retrospective cohort study included 20 cases with tracheal stenosis admitted to cardiothoracic surgery department, Zagazig university hospitals. Patients divided into two groups; surgery group included 10 patients underwent surgical tracheal resection and re-anastomosis, and bronchoscopy group included 10 patients underwent repeated rigid bronchoscopy tracheal dilatation. Results: No significant differences were observed in length of stenosis, or vocal cord distance between the two groups, recurrence was higher in bronchoscopy group than surgery group and there was statistically significant increase in duration before recurrence in surgery group than endoscopic group, also complications in surgery group were vocal cord paralysis, surgical emphysema, surgical site infection, hematoma, and anastomotic leakage, in comparison to hypoxemia in in bronchoscopy group. Conclusion Tracheal resection and re-anastomosis are the most efficient techniques in management of tracheal stenosis with lower failure and recurrence rates than bronchoscopy group.
   
     
 
       

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