Tracheal Surgery

Grillo, Hermes C.

doi:10.3109/14017438309102383

Cited by 43 publications

(7 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The optimal surgical treatment for short‐segment tracheal stenosis is resection with primary end‐to‐end anastomosis. Provided that excessive tension is not produced, tracheal defects 2 cm or less can be effectively managed using this method 2 . However, longer tracheal defects require release procedures to obtain successful end‐to‐end anastomosis with acceptably low tension.…”

Section: Introductionmentioning

confidence: 99%

Tracheal Transplantation: Superior and Inferior Thyroid Artery Perfusion Territory

et al. 1998

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Tracheal Transplantation: Superior and Inferior Thyroid Artery Perfusion Territory

et al. 1998

View full text Add to dashboard Cite

show abstract

“…Over the years, various endoscopic and open techniques have been proposed such as serial dilatation with rigid bronchoscope [8], bronchoscopic angioplastic balloon dilatation [9], Mercedes Benz radial incision over tracheal stenosis [10], placement of endoprostheses [11] thorarcotomy with tracheotracheal resection anastomosis [12], under femorofemoral cardiopulmonary bypass [13], and sliding tracheoplasty [14].…”

Section: Discussionmentioning

confidence: 99%

Management of intrathoracic tracheal stenosis: a challenge

Sathe¹,

Srinivas²,

Ahmed³

et al. 2022

Egypt J Otolaryngol

View full text Add to dashboard Cite

Background Tracheal stenosis is a complicated surgical problem, which because of endoscopic techniques can be managed by less invasive procedures. In our case series of three patients with intrathoracic tracheal stenosis following prolonged use of tracheostomy tube, we describe the initial assessment, investigations, management, and post-operative results of the same. In our series, all three patients were tracheostomised (with a metallic tube) for more than 3 months. This resulted in chronic abrasion of intraluminal tracheal mucosa at thoracic level. We managed them with conservative trans-oral and trans-tracheal laser-assisted release instead of open surgeries like trachea-tracheal resection and anastomosis or Crico-tracheal resection and anastomosis. Results In our case series, we chose transoral bronchoscopic fibre laser-assisted release followed by dilatation for one patient and trans-tracheal release for the other two. In the trans-oral case, we faced difficulty in controlling the long length of instruments, thereby effecting the control over the laser tip and precision of cut. During the revision surgery for the same patient, we faced difficulty in securing the airway below the stenosis as it was a low stenosis. In patients 2 and 3, we approached the stenosis site via tracheostomy site, thereby significantly reducing the working length of instruments. This gave us better control over the instruments and we attained better precision in radial incisions. Moreover, if there had been an intraoperative bleeding or aspiration, we could have easily secured the airway by FROVA as distance between stoma and stenosis site was not very long. Conclusion CO2 Lase-assisted stenosis release has a very promising result in up to grade III thoracic tracheal stenosis. A good preplanning with anaesthetists and cardiothoracic surgeons for tailor made approach is a must. Intermittent apnoea technique of anaesthesia really helps in such cases of intrathoracic tracheal stenosis. We advocate to always use soft material tracheostomy tube to prevent mucosal abrasion, to avoid a low tracheostomy without appropriate and to proper fix the tracheostomy tube and try for early decannulation.

show abstract

“…Bei den insgesamt selten vorkommenden angeborenen Trachealstenosen sind segelartige und segmentale Stenosen, die durch Sprengung oder Resektion der betroffenen Anteile und End-zu-End-Anastomose der Trachealstümpfe angegangen werden, von längerstreckigen Stenosen abzugrenzen [2,3]. Angeborene Trachealstenosen, welche mehr als die Hälfte der Tracheallänge betreffen, sind in 25 % der Fälle mit Pulmonalarterienschlingen, in 20 % der Fälle mit intrakardialen Anomalien und des weiteren häufig mit einem rechtsseitig liegenden Aortenbogen vergesellschaftet [4,5].…”

Section: Einführungunclassified