Surgery for Acute Complicated Tracheal Stenosis

Arpad Pereszlenyi

Department of Thoracic Surgery, Vivantes Klinikum Neuk?lln, Academic Teaching Hospital of Charité University, Berlin, Germany.

DOI: 10.4236/ojts.2012.23013                

Abstract

Tracheal stenosis is a serious, life-threatening disease with increasing incidence. Among these stenoses, the number of complicated tracheal lesions, where a resection and anastomosis is not successful or not applicable, is also increasing significantly. These acute situations often need to be managed by a combined surgical technique. The present paper is dedicated to this topic; the management of combined surgical and endoscopic technique in case of complicated long tracheal stenosis.

Keywords

Complicated Tracheal Stenosis; Management by a Combined Surgical; Endoscopic Technique

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	H.C. Grillo, D.M. Donahue, D.J. Mathisen, J.C. Wain and C.D. Wright, “Postintubation tracheal stenosis. Treatment and results,” J Thorac Cardiovasc Surg, Vol. 109, No. 3, 1995, pp. 486-492 discussion 492-3.
[2]	R. Nandakumar, C. Jagdish, C.B. Prathibha, C. Shilpa, V. Sreenivas, A.M. Balasubramanya and R.C. Nayar, “Tracheal resection with end-to-end anastomosis for post-intubation cervical tracheal stenosis: study of 14 cases,” J Laryngol Otol, Vol. 125, No. 9, 2011, pp. 958-61. doi:10.1017/S002221511100137X
[3]	H.C. Grillo, “Surgical treatment of postintubation tracheal injuries,” J Thorac Cardiovasc Surg, Vol. 78, No. 6, 1979, pp. 860-875.
[4]	G. Massard, C. Rouge, A. Dabbagh, R. Kessler, J.G. Hentz, N. Roeslin, J.M. Wihlm and G. Morand, “Tracheobronchial lacerations after intubation and tracheo-stomy,” Ann Thorac Surg, Vol. 61, No.5, 1996, pp. 1483-1487. doi:10.1016/0003-4975(96)00083-5
[5]	J. Jougon, M. Ballester, E.Choukroun, J. Dubrez, G. Reboul and J.F. Velly, “Conservative treatment for postintubation tracheobronchial rupture,” Ann Thorac Surg, Vol. 69, No. 1, 2000, pp. 216-220.
[6]	A.E. Melkane, N.E. Matar, A.C. Haddad, N.N. Nassar, H.G. Almoutran, Z. Rohayem, M. Daher, G. Chalouhy and G. Dabar, “Management of postintubation tracheal stenosis: appropriate indications make outcome differences,” Respiration, Vol. 79, No. 5, 2010, pp. 395-401. doi:10.1159/000279225
[7]	J.P. Jacobs, J.A. Quintessenza, L.M. Botero, H.M. van Gelder, J.M. Giroud, M.J. Elliott and C. Herberhold, “The role of airway stents in the management of paediatric tracheal, carinal and bronchial disease,” Eur J Cardiothoracic Surg, Vol. 18, 2000, pp. 505-12. doi:10.1016/S1010-7940(00)00534-0
[8]	H.C. Grillo, “Circumferencial resection and reconstruction of the mediastinal and cervical trachea,” Ann Surg, Vol. 162, 1965, pp. 374-388. doi:10.1097/00000658-196509000-00007
[9]	F.G. Pearson, J.D. Cooper, J.M. Nelems and A.W.P. Van Nostrand, “Primary tracheal anastomosis after resection of the cricoid cartilage with preservation of recurrent laryngeal nerves,” J Thorac Cardiovasc Surg, Vol. 70, No. 5, 1975, pp. 806-817.
[10]	J.D. Cooper, T.R. Todd, R. Ilves and F.G. Pearson, “Use of the silicone tracheal T-tube for the management of complex trachea injuries,” J Thorac Cardiovasc Surg, Vol. 8, No. 4, 1981, pp. 559-68.
[11]	H.C. Liu, K.S. Lee, C.J. Huang, C.R. Cheng, W.H. Hsu and M.H. Huang, “Silicone T-tube for complex laryngotracheal problems,” Eur J Cardiothorac Surg, Vol. 21, No. 5, 2002, pp. 326-330. doi:10.1016/S1010-7940(01)01098-3
[12]	W.W. Montgomery, “Reconstruction of the cervical trachea,” Ann Otol Rhinol Laryngol, Vol. 73, 1964, pp. 5-51.
[13]	W.W. Montgomery, “T-tube tracheal stent,” Arch Otolaryngol, Vol. 82, 1965, pp. 320-321. doi:10.1001/archotol.1965.00760010322023
[14]	M.M. Wahidi and A. Ernst, “The Montgomery T-tube tracheal stent,” Clin Chest Med, Vol. 24, 2003, pp. 437-43. doi:10.1016/S0272-5231(03)00042-X
[15]	W.E. Neville, P.J. Bolanowski and G.G. Kotia, “Clinical experience with the silicone tracheal prosthesis,” J Thorac Cardiovasc Surg, Vol. 99, 1990, pp. 604-13.