TY  - JOUR
PY  - 2009//
TI  - Tracheal resection with primary anastomosis: 10 years experience
JO  - American journal of otolaryngology
A1  - Marques, Pedro
A1  - Leal, Laurentino
A1  - Spratley, Jorge
A1  - Cardoso, Eduardo
A1  - Santos, Margarida
SP  - 415
EP  - 418
VL  - 30
IS  - 6
N2  - 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>
LA  - en
SN  - 0196-0709
UR  - http://dx.doi.org/10.1016/j.amjoto.2008.08.008
ID  - ref1
ER  -