Health-related quality of life evaluation in patients with non-surgical benign tracheal stenosis

Abstract

Quality of life of patients with benign tracheal stenosis is severely impaired, and norm-based results indicate that the HRQL is below normative data. Physical and mental discomfort seems to be attenuated by total treatment time.

Impact of fundoplication for gastroesophageal reflux in the outcome of benign tracheal stenosis

“…Esophageal body motor abnormality was found in 28 patients (44.4%), 20 patients showed hypomotility, and 5 patients had hypercontractility of the distal esophagus. Other findings included nonspecific motility disorder (1), diffuse esophageal spasm (1), and hypertonic UES (1). The presence of an abnormal esophageal motility in this cohort was not affected by age or gender (P ¼ .504 and P ¼ .435, respectively).…”

“…A total of 162 patients (92.5%) had a history of orotracheal intubation with a median duration of 17.1 days. Other causes in the remaining patients were idiopathic ( 9), postinfectious stenosis (3), and Wegener's granulomatosis (1). The location of the stenosis was subglottic in 94 (53.7%), tracheal in 61 (34.8%), and laryngotracheal in 20 (11.4%).…”

“…Postintubation airway stenosis is a complex problem that often requires multiple interventions for treatment and poses a negative impact on the patient's quality of life. 1 The reported incidence of tracheal stenosis after tracheostomy and laryngotracheal intubation varies from 0.6% to 21%. 2 Gastroesophageal reflux (GER) is associated with a wide spectrum of respiratory diseases, including pulmonary fibrosis, bronchiectasis, and asthma.…”

Tracheal resection for tracheal stenosis

“…In addition, patients have been shown to have an overall poor Health-Related Quality of Life score, with a decline in mental health and worsening selfesteem. [10][11][12] Additionally, tracheostomies and T-tubes require continued daily maintenance, which can prove challenging.…”

Quality-of-life evaluation in patients with laryngotracheal diseases

“…As consequence, patients usually experience dyspnea, stridor dysphonia, dysphagia, and in severe cases, phonation ablation (1,(4)(5)(6)(7)(8). Furthermore, many patients will have a tracheostomy placed during an exacerbation event.…”