Tracheal resection and modified T-tube in the treatment of benign tracheal stenosis. A retrospective study of 48 patients

Abstract

OBJECTIVE: The objective was to prove effi ciency of tracheal resection in the cohort of patients of our clinic and to introduce our own modifi cation of T-cannula as a surgical alternative if tracheal resection is contraindicated. BACKGROUND: Benign tracheal stenosis, the most often represented by post tracheostomy (PTTS) and post intubation (PITS) stenosis, is a rare, but serious and potentially life-threatening medical condition. We present our experience with the management of the patients, who were referred with a benign tracheal stenosis. METHODS: In the retrospective study, patient's outcome was evaluated after tracheal resection or treatment with T-cannula from all the patients presented with a benign tracheal stenosis from January 2015 to January 2021. RESULTS: The cohort consists of forty-eight patients. Thirty-one (64,6 %) patients underwent a tracheal resection and seventeen (35,4 %) were treated with tracheostomy and T-tube insertion. In the series of patients after tracheal resection, we observed no mortality, complications occurred in ten (32,2 %) patients. They were spread proportionally; anastomotic complications were noticed in 5 (16,1 %) patients, as well as non-anastomotic complications. CONCLUSION: Tracheal resection is a safe and effective procedure with good results. T-tube insertion presents a surgical alternative if bronchoscopy is unavailable or failed (Tab. 4, Fig. 2, Ref. 20).

Analysis of clinical characteristics of 617 patients with benign airway stenosis

“…In general, BAS caused by external compression is triggered by thyroid goiter, lymphoma, granuloma, esophageal tumor or large vascular malformation, etc. The airway mucosa is mostly normal, and only the compression of surrounding tracheal tissues gives rise to the occurrence of lumen stenosis and cartilage deformation ( 24 , 25 ). For BAS patients caused by thyroid goiter, most were relieved by surgery, while some may have comorbidities and require a multidisciplinary approach to management owing to complications like tracheomalacia or respiratory failure after surgery ( 24 ).…”

Internet+Continuous Nursing Mode in Home Nursing of Patients with T-Tube after Hepatolithiasis Surgery

“…With the gradual development of Internet science and technology, Internet medical care has become one of the effective ways to obtain high-quality health information services [ 20 ]. During hospitalization and discharge, only relying on health education of discharged patients with T-tube by medical staff cannot improve their mastery of T-tube management and nursing knowledge, thus affecting the prognosis of patients [ 21 , 22 ]. The continuous nursing mode based on mobile Internet can ensure real-time communication between medical staff and patients; strengthen medical staff's grasp of patients' psychological problems, health management, and rehabilitation effect evaluation; and improve patients' trust in medical staff and patients' nursing satisfaction [ 23 ].…”