@article{ref1,
title="Tracheal resection with primary anastomosis: 10 years experience",
journal="American journal of otolaryngology",
year="2009",
author="Marques, Pedro and Leal, Laurentino and Spratley, Jorge and Cardoso, Eduardo and Santos, Margarida",
volume="30",
number="6",
pages="415-418",
abstract="OBJECTIVE: The aim of the study was to review clinical, imagiologic, and surgical outcomes of tracheal resection in the management of laryngotracheal stenosis. METHODS: The study used a retrospective analysis of adult patients managed in a tertiary academic hospital who underwent thyrotracheal, cricotracheal, or tracheal end-to-end anastomosis between 1997 and 2006. RESULTS: Twelve patients, aged 15 to 79 years old, were included. Prolonged tracheal intubation was the leading cause of stenosis (11 patients) that was classified according to Myer-Cotton (Ann Otol Rhinol Laryngol. 1994;103:319-323) classification as follows: grade II (25%), grade III (58%), and grade IV (17%). The stenosis extension ranged from 1 to 6 cm. Surgeries varied from tracheal end-to-end anastomosis (n = 5), cricotracheal anastomosis (n = 4), and thyrotracheal anastomosis (n = 3). Extubation was achieved in 11 patients (92%). One patient maintains a T tube stent. The most common complication was the presence of granulation tissue in the anastomosis region (33%). There was no mortality associated. CONCLUSIONS: Tracheal resection with primary anastomosis appears to be a successful and safe procedure mainly due to its high decannulation rate and few complications associated.<p /><p>Language: en</p>",
language="en",
issn="0196-0709",
doi="10.1016/j.amjoto.2008.08.008",
url="http://dx.doi.org/10.1016/j.amjoto.2008.08.008"
}