[Tracheal resection-anastomosis for iatrogenic stenosis. Experience in 340 cases].

Abstract

Since 1975, 340 patients were treated by tracheal sleeve resection for tracheal or subglottic laryngeal iatrogenic stenoses in our unit. Preoperative iterative Nd YAG laser sessions have usually been performed, without success. The length of the sleeve specimen was an average of 3 1/4 cm. Twelve patients died on the post operative course (3.5%), 3 more patients died later after failure of the procedure (0.9%) and nineteen had recurrent stenoses treated with use of a tracheostomy tube, a permanent Montgomery tube, or an endotracheal stent (5.6%). Three hundred and six patients are definitely cured (90%), at the first attempt for 265 patients, after a laser session for granulomas for 20 patients, after a second tracheal resection for 6 patients and after a temporary Montgomery tube for 15 patients. Providing there is a good selection of the patients, tracheal sleeve resection is the best treatment for iatrogenic stenosis.

• Authors: P Bonnette, A Colchen, M Leroy, A Bisson
• Journal: Revue des maladies respiratoires (Rev Mal Respir) Vol. 15 Issue 5 Pg. 627-32 (Oct 1998) ISSN: 0761-8425 [Print] France
• Vernacular Title: Résection-anastomose trachéale pour sténose iatrogène. Une expérience de 340 cas.
• PMID: 9834990 (Publication Type: English Abstract, Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Aged, 80 and over
• Anastomosis, Surgical (methods)
• Child
• Female
• Humans
• Laryngostenosis (surgery)
• Laser Therapy
• Male
• Middle Aged
• Stents
• Trachea (pathology, surgery)
• Tracheal Stenosis (surgery)
• Treatment Outcome