[Reduction of Tracheotomy Associated Tracheal Stenosis by Surgical Closure of the Tracheostomy].

Abstract

BACKGROUND:

The most common long-term complication of tracheotomy is the benign stenosis of the trachea, which is described for up to 20% of the cases. Typically, the stenosis occurs after decannulation in the context of secondary wound healing. This study examined whether the closure of the tracheostomy by surgical procedure reduces stenosis.

METHOD:

With the help of our clinical database a retrospective analysis of 401 surgical tracheotomies was performed. Variables that were recorded were the indication for tracheotomy, the clinical course and complications occurred.

RESULTS:

155 patients were successfully decannulated. In 92 of these patients the tracheostomy was closed by a surgical procedure, in 63 cases the closure occurred spontaneously by wound healing. After decannulation 3% (n=3) of the surgically closed and 22% (n=14) of the spontaneously closed tracheostomies developed a symptomatic tracheal stenosis (p<0.001).

CONCLUSION:

Secondary wound healing of the tracheostomy often leads to symptomatic tracheal stenosis. The incidence of symptomatic tracheal stenosis was significantly reduced applying closure of the tracheostomy by surgical procedure.

• Authors: A Lopez-Pastorini, O Kraja, C Ludwig, T Plönes, J H Storre, T Rommel, A Riecker, E Stoelben
• Journal: Pneumologie (Stuttgart, Germany) (Pneumologie) Vol. 69 Issue 6 Pg. 335-40 (Jun 2015) ISSN: 1438-8790 [Electronic] Germany
• Vernacular Title: Reduktion Tracheostoma-assoziierter Trachealstenosen durch chirurgischen Stomaverschluss.
• PMID: 25962568 (Publication Type: Journal Article)
• Copyright: © Georg Thieme Verlag KG Stuttgart · New York.

Topics

• Combined Modality Therapy (statistics & numerical data)
• Female
• Germany (epidemiology)
• Humans
• Male
• Middle Aged
• Postoperative Complications (epidemiology, prevention & control)
• Prevalence
• Risk Factors
• Tracheal Stenosis (epidemiology, prevention & control)
• Tracheostomy (statistics & numerical data)
• Tracheotomy (statistics & numerical data)
• Treatment Outcome
• Wound Closure Techniques (statistics & numerical data)
• Wound Healing