CO₂ laser treatment of tracheal stenosis.

Abstract

CONCLUSION:

Delivery of a carbon dioxide laser is an effective method and can be used in selected cases of tracheal stenosis.

OBJECTIVES:

To present retrospective experience in tracheal stenosis of 16 patients treated by bronchoscopic delivery of carbon dioxide laser, considering the characteristics of the treated stenosis, surgical procedures performed, and post-operative outcomes and complications.

METHODS:

All demographic and clinical data were collected retrospectively. Chest and neck computed tomography scans were performed to assess the stenosis, including length, location, and glottic involvement. The stenotic area was evaluated endoscopically according to an adapted Meyer and Cotton grading scale.

RESULTS:

The aetiology of the tracheal stenosis was intubation-related in 14 cases, and idiopathic in two cases. The duration of intubation ranged between 1 hour to 26 days. According to the Myers-Cotton classification, mean stage of stenosis for the study group was 3.3 ± 0.5. Mean length of the stenosis was 23.75 ± 6.95 (range = 15-40) mm. Mean follow-up for the study group was 23.81 ± 7.11 (range = 12-38) months. Postoperative decannulation was achieved in 13 patients (81.3%), and decannulation was not achieved in three patients (18.7%).

• Authors: Yilmaz Ozkul, Murat Songu, Abdulkadir Imre, Duzgun Ates, Secil Arslanoglu, Ercan Pinar, Kazim Onal
• Journal: Acta oto-laryngologica (Acta Otolaryngol) Vol. 135 Issue 11 Pg. 1160-2 ( 2015) ISSN: 1651-2251 [Electronic] England
• PMID: 26137899 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Female
• Follow-Up Studies
• Humans
• Laser Therapy (instrumentation)
• Lasers, Gas (therapeutic use)
• Male
• Middle Aged
• Retrospective Studies
• Time Factors
• Tomography, X-Ray Computed
• Tracheal Stenosis (diagnostic imaging, surgery)
• Treatment Outcome
• Young Adult