Tracheal sleeve resection for iatrogenic stenoses (subglottic laryngeal and tracheal)

Bisson, A; Bonnette, P.; Kadi, N. Ben El; Leroy, Marie-Josèphe; Colchen, A; Personne, C; Toty, L; Herzog, P.

doi:10.1016/s0022-5223(19)34666-5

Cited by 60 publications

(38 citation statements)

References 15 publications

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“…Laryngotracheal resection or reconstruction, although successful, can cause damage to vocal cords and recurrent laryngeal nerve. 91 Our approach to subglottic and tracheal stenosis is to carry out mucosal-sparing radial cuts using Nd-YAG laser followed by gentle dilatation with a single-size RB, and stenting if tracheomalacia is observed. 92 With careful patient selection ( Fig.…”

Section: Relief Of Benign Airway Obstructionmentioning

confidence: 99%

Management of complications from diagnostic and interventional bronchoscopy

2009

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From the humble beginnings as a mere curiosity, the art of bronchoscopy has progressed at a rapid pace.The millennium ushers in new technologies and refinements in established techniques to facilitate early detection of cancer, precise targeting of pulmonary nodules and infiltrates, near-total staging of the mediastinum with combined endoscopic modalities and more effective palliation of inoperable tumours. Bronchoscopists are faced with an increasing myriad of tools and equipment, each promising to carry out better than the previous. It is opportune to review the complications of established bronchoscopic techiques and how to manage them as well as new complications associated with novel technologies. In this article, we provide a concise overview of diagnostic and therapeutic bronchoscopic modalities, discussion of associated complications and their management strategies.

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Section: Relief Of Benign Airway Obstructionmentioning

confidence: 99%

Management of complications from diagnostic and interventional bronchoscopy

2009

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“…Surgery is contraindicated, at least temporarily, in patients with poor general condition or unstable concomitant disease. Therefore, treatments, including bronchoscopic dilation, laser, and stenting, are recommended as an alternative to surgery [1,12]. Grillo et al reported in a 1995 study that laser treatment was unsuccessful in 23-43% of cases and that conservative approaches can only be successful in selected patients [13].…”

Section: Discussionmentioning

confidence: 99%

“…In addition to surgical treatment for postintubation tracheal stenosis (PETS), methods such as bronchoscopic dilatation, laser ablation, and stent placement are also available. Reports have indicated that bronchoscopy can be curative in many selected cases [1][2][3]. Mehta et al reported that diaphragm-or web-like stenoses could be treated by mucosal separation technique with a success rate of 60% after 1-3 sessions [4].…”

Section: Introductionmentioning

confidence: 99%

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Prognostic factors associated with morbidity and mortality after surgery for postintubation tracheal stenosis

Ceritoğlu¹,

Sezen²,

Aker³

et al. 2020

Curr Thorac Surg

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To cite this article: Ceritoğlu A, Sezen CB, Aker C, Girgin O, Akın H. Prognostic factors associated with morbidity and mortality after surgery for postintubation tracheal stenosis. Curr Thorac Surg 2020; 5(1): 16-22. ABSTRACT Background:In this study, we reviewed the treatment, follow-up, and prognostic factors associated with complications in patients who underwent tracheal resection due to postintubation tracheal stenosis (PETS), in light of the literature. Materials and Methods: Twenty-five patients who were operated for PETS between June 2012 and June 2017 were retrospectively evaluated. The patients' postoperative complications and prognostic factors affecting mortality were examined.Results: There was 11 female (44%) and 14 male (56%) patients. Eight patients (32%) had comorbidities.The mean prolonged intubation time was 47.4 ± 55.0 minutes. Eight patients (32%) developed postoperative morbidity. The main prognostic factors associated with morbidity were the length of the stenotic area and the presence of endocrine and respiratory comorbidities (p<0.05). Tracheal fistulae were observed in 2 patients. The postoperative mortality rate was 8% (n=2). One patient with fistula died on postoperative day 2, while another patient died at postoperative three months due to cardiac failure. No significant factor was identified in relation to the development of tracheal fistulae. Conclusions:The most important factor associated with complications was the presence of endocrine comorbidities. Although tracheal surgery results in high rates of postoperative morbidity and mortality, we believe these risks can be reduced by experienced surgeons and appropriate patient selection.

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“…La sección quirúrgica es considerada el tratamiento curativo estándar para este tipo de le-siones13. Sin embargo, el fracaso de este tratamiento ha sido reportado en el 5 a 15% de los casos, y la mortalidad es de 1,8 a 5% [14][15][16][17] . Cuando la longitud de la estenosis, las enfermedades subyacentes, o el "performance status" contraindiquen la cirugía, los stent están indicados 13 .…”

Section: Introductionunclassified

Manejo de la estenosis traqueal

A³

et al. 2007

Rev Chil Cir

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RESUMENObjetivo del estudio: Proponer una nueva clasificación para la estenosis traqueal para estandarizar el manejo. Diseño: Estudio prospectivo realizado entre Octubre del 2002 y septiembre del 2005 en el Hospital San José. Pacientes: Se incluyeron 32 pacientes, 9 mujeres y 23 varones, con estenosis traqueal de etiología benigna (20 casos) y maligna (12 casos), de los cuales 4 tenían fístula traqueoesofágica. Método: Los pacientes fueron divididos en tres grupos de acuerdo a la morfología, longitud, número y localización de la o las lesiones que causaban estenosis. Según lo anterior Tipo I (7 casos; 22%), Tipo II (5 casos; 16%). Tipo III (20 casos; 62%). Intervenciones: Las estenosis Tipo I fueron tratadas mediante electrocoagulación. Las Tipo II con cirugía (resección y anastomosis traqueal termino-terminal primaria). Las Tipo III utilizando un stent dinámico. Resultados: La evolución posterior a la realización del procedimiento correspondiente a cada grupo, fue favorable, mejorando la capacidad funcional, demostrado por la realización de curva flujo-volumen y la desaparición de manifestaciones clínicas (según escala de Borg modificada) en el 69% de los pacientes, con una calidad de vida que mejora en el 100% de los casos, objetivado mediante el cuestionario de Saint-George. La mortalidad global es de 25% (8/32), no atribuible al tratamiento otorgado. Conclusiones: Consideramos que la clasificación propuesta es un método operacional, de fácil utilización, que permite planificar un tratamiento independientemente de la etiología de la estenosis traqueal, permitiendo asignar un pronóstico y mejorar calidad de vida.PALABRAS CLAVE: Estenosis traqueal, cirugía traqueal, stent dinámico. SUMMARYBackground: Tracheal stenosis is a common complication of intubation or tracheostomy. Aim: To report the experience with tracheal stenosis and propose a new classification to standardize its management. Material and Methods: Prospective study of 32 patients aged 17 to 79 years, 23 males. Twenty had a benign and 12 a malignant stenosis, four of which had tracheoesophageal fistula. Seven patients had a Type I stenosis, defined as a lesion of less than 1 cm in length, five had a type II lesion, defined as a diffuse

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Tracheal sleeve resection for iatrogenic stenoses (subglottic laryngeal and tracheal)

Cited by 60 publications

References 15 publications

Management of complications from diagnostic and interventional bronchoscopy

Management of complications from diagnostic and interventional bronchoscopy

Prognostic factors associated with morbidity and mortality after surgery for postintubation tracheal stenosis

Manejo de la estenosis traqueal

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