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J Laryngol Otol. 2011 Sep;125(9):958-61. doi: 10.1017/S002221511100137X. Epub 2011 Jun 7.

Tracheal resection with end-to-end anastomosis for post-intubation cervical tracheal stenosis: study of 14 cases.

Author information

1
Department of Otorhinolaryngology and Head and Neck Surgery, St John's Medical College and Hospital, Bangalore, India. nandakumarrajan@yahoo.com

Abstract

BACKGROUND AND OBJECTIVES:

The incidence of acquired laryngeal stenosis is increasing. This retrospective study aimed to assess the long term results of circumferential resection with end-to-end tracheal anastomosis for isolated post-intubation stenosis of the cervical trachea, and to review the relevant literature.

METHODS:

Twelve male and two female patients (aged 16-30 years, mean age 24 years) treated between February 2003 and December 2008 were included. Hospital and office records were reviewed and relevant surgical details recorded.

RESULTS:

Indications for tracheal resection anastomosis were post-intubation stenosis (78.57 per cent) and trauma (21.42 per cent). One to five tracheal rings were resected (i.e. 1-2.5 cm of cervical trachea). Tracheal anastomosis was considered successful if the patient remained asymptomatic for 24 months of close follow up (involving regular flexible bronchoscopy and neck X-ray). The anastomotic success rate was 92.85 per cent.

CONCLUSION:

Tracheal resection and end-to-end anastomosis is relatively safe and reliable for definitive treatment of benign tracheal stenosis in appropriate patients. Local application of mitomycin C prevents granulation and aids long term airway patency.

PMID:
21729445
DOI:
10.1017/S002221511100137X
[Indexed for MEDLINE]

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