Tracheal resection and anastomosis: An 11 year management outcome

Research output: Contribution to journalArticle

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Abstract

Objective: To evaluate the etiology, perioperative management and outcome of surgery in cases of tracheal stenosis. Methods: This was a retrospective analysis of patients with tracheal stenosis who underwent tracheal resection with anastomosis from January 2000 to December 2010. Results: Ten patients, aged between 15 to 53 years old (mean of 34.4 years) were included. Post intubation injury was the major cause of tracheal stenosis (n=8), followed by external laryngeal trauma (n=2). Using the Cotton-Myer classification, 60% of patients had Grade III stenosis whilst 40% had Grade IV stenosis. Intravenous corticosteroids were given 24 hours before extubation. Four patients were well post-operatively without complications. The most common complication in the other patients was granulation tissue at the anastomosis region (n=3), vocal cord paresis (n=2) and one restenosis (n=1). Four of these patients underwent examination under anesthesia with removal of granulation tissue and/or laser dilatation. However, 2 cases needed Shian Lee operation and required T-tube until present. The success rate for tracheal resection and anastomosis is taken as the number of patients successfully decannulated, which was 80%. Conclusion: Tracheal resection with end-to-end anatomosis was a successful procedure for cervical tracheal stenosis, with low mortality and few complications related to it.

Original languageEnglish
Pages (from-to)177-180
Number of pages4
JournalRawal Medical Journal
Volume38
Issue number2
Publication statusPublished - 2013

Fingerprint

Tracheal Stenosis
Granulation Tissue
Pathologic Constriction
Vocal Cord Paralysis
Wounds and Injuries
Intubation
Dilatation
Adrenal Cortex Hormones
Lasers
Anesthesia
Mortality

Keywords

  • Acquired laryngeal stenosis
  • Endotracheal intubation
  • Laryngostenosis
  • Tracheal stenosis

ASJC Scopus subject areas

  • Medicine(all)
  • Nursing(all)

Cite this

Tracheal resection and anastomosis : An 11 year management outcome. / Hassan, F. H.; Goh, Bee See; Kong, Min Han; Mat Baki, Marina; Mohamed, Abdullah Sani.

In: Rawal Medical Journal, Vol. 38, No. 2, 2013, p. 177-180.

Research output: Contribution to journalArticle

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