scholarly journals Analysis of 40 patients who underwent tracheal resection due to benign complex tracheal stenosis

2021 ◽  
Author(s):  
Mehmet Furkan Sahin ◽  
Muhammet Ali Beyoglu ◽  
Alkin Yazicioglu ◽  
Erdal Yekeler
Keyword(s):  
Tracheal Stenosis ◽  
Tracheal Resection

scholarly journals Median Sternotomy for Innominate Artery Compression Syndrome and Distal Tracheal Stenosis

2021 ◽  
pp. 000313482199867
Author(s):  
Sandeep Sainathan ◽  
Mahesh Sharma
Keyword(s):  
Premature Infant ◽  
Tracheal Stenosis ◽  
Median Sternotomy ◽  
Innominate Artery ◽  
Initial Diagnosis ◽  
Tracheal Resection ◽  
Tracheal Cartilage ◽  
Compression Syndrome

We present a case of a premature infant who had an initial diagnosis of an innominate artery compression syndrome. This was approached by a median sternotomy for an aortopexy. However, the patient was found to have a distal tracheal stenosis due to a tracheal cartilage deficiency and was treated by a tracheal resection and primary anastamosis.

TRACHEAL STENOSIS CAUSED BY TRACHEOPATHIA OSTEOPLASTICA: TREATMENT BY CERVICAL TRACHEAL RESECTION WITH RECONSTRUCTION

CHEST Journal ◽  
2008 ◽  
Vol 134 (4) ◽  
pp. 37C
Author(s):  
Chakravarthy B. Reddy ◽  
Sidhu Gangadharan ◽  
Gaetane Michaud ◽  
Adnan Majid ◽  
Armin Ernst
Keyword(s):  
Tracheal Stenosis ◽  
Tracheal Resection ◽  
Tracheopathia Osteoplastica

Anaesthetic management of acquired tracheal stenosis for tracheal resection and reconstruction

Airway ◽  
2021 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
Sunil Rajan ◽  
Jacob Mathew ◽  
BeegamShoufi Kunjumon ◽  
Lakshmi Kumar
Keyword(s):  
Tracheal Stenosis ◽  
Anaesthetic Management ◽  
Tracheal Resection

scholarly journals Reinforcement of an end-to-end Tracheal Resection Anastomosis with Fibrin Glue: A Case Report

2001 ◽  
Vol 80 (4) ◽  
pp. 234-238 ◽  
Author(s):  
Ashutosh Kacker ◽  
Jerry Huo
Keyword(s):  
Case Report ◽  
Fibrin Glue ◽  
Tracheal Stenosis ◽  
Fibrin Sealant ◽  
Primary Anastomosis ◽  
Tracheal Resection ◽  
Short Segment ◽  
Prolonged Intubation ◽  
Airtight Seal ◽  
Fatal Complications

Tracheal resection and primary anastomosis is the treatment of choice for a short-segment stenosis. However, the procedure does carry the risk of two potentially fatal complications: anastomosis breakdown and leak. We describe the case of a 67-year-old man who was treated for a 3-cm tracheal stenosis secondary to a prolonged intubation and multiple tracheostomies. The patient underwent a tracheal resection and primary anastomosis. The anastomosis was reinforced with fibrin sealant, which created an airtight seal. The patient was extubated postoperatively, and he healed without complication. Fibrin sealant is a convenient, safe, and effective material for reinforcing anastomotic suture lines.

scholarly journals Treatment of a case of tracheal stenosis in a dog with tracheal resection and anastomosis

2012 ◽  
Vol 48 (No. 11) ◽  
pp. 339-342 ◽  
Author(s):  
Z. Mutlu ◽  
Acar SE ◽  
C. Perk
Keyword(s):  
General Anesthesia ◽  
Clinical Examination ◽  
Tracheal Stenosis ◽  
Postoperative Period ◽  
Tracheal Resection ◽  
Late Period ◽  
Healthy Life ◽  
Breathing Difficulty ◽  
Cervical Portion ◽  
Resection And Anastomosis

A case of tracheal stenosis in the cervical portion of the trachea was encountered in a 5.5-month-old St. Bernard-Ro􀄴weiler cross dog. Breathing difficulty was seen in the clinical examination and presence of an obvious narrowing between the 3rd–5th cervical tracheal rings was determined in the radiological examination. Under general anesthesia the portion with stenosis was resected and the healthy trachea ends were anastomosed using the split cartilage technique. In the postoperative period the breathing difficulty disappeared and there was no development of a new stenosis in the anastomosis region. In the late period check-up the patient was seen to lead a healthy life.

The evolution of the pulmonary arterial sling syndrome, with particular reference to the need for reoperations because of untreated tracheal stenosis

2009 ◽  
Vol 19 (5) ◽  
pp. 446-450 ◽  
Author(s):  
Tsvetomir S. Loukanov ◽  
Christian Sebening ◽  
Wolfgang Springer ◽  
Siegfried Hagl ◽  
Matthias Karck ◽  
...  
Keyword(s):  
Cardiopulmonary Bypass ◽  
Pulmonary Artery ◽  
Tracheal Stenosis ◽  
Left Pulmonary Artery ◽  
Tracheobronchial Tree ◽  
Tracheal Resection ◽  
Computer Tomography Angiography ◽  
Pulmonary Arterial ◽  
The Mean

AbstractBackgroundWe present a group of infants and children with pulmonary arterial sling and tracheal stenosis. In some of the patients, the anomalously located pulmonary artery had previously been reimplanted, but without simultaneous repair of the trachea.MethodsFrom 1992 to 2007, we reimplanted the left pulmonary artery in 13 children with a pulmonary arterial sling. Their median age was 8 months, with a range from 1 to 72 months. We also performed tracheal resection with end-to-end anastomosis, or complex tracheal reconstructions. In 5 patients, the reoperation was indicated because of persistent tracheal stenosis not treated initially at first correction of the arterial sling. All patients presented with stridor and respiratory distress. Cardiac catheterization, bronchoscopy and multidetecting computer tomography angiography were performed in all cases prior to the operation. All operations were performed under cardiopulmonary bypass.ResultsThere was no operative or late mortality. The patients were extubated under bronchoscopic control. The mean period of intubation was 18 plus or minus 8 days, and the average follow-up was 8 plus or minus 4 years. The patients showed no signs of tracheal re-stenosis clinically or on bronchoscopy. The group of the patients under reoperations, however, required longer periods of intubation and hospitalization.ConclusionOur experience demonstrates that, in patients with a pulmonary arterial sling, any associated tracheal stenosis should be explored at the initial operation, since decompression of the trachea by reimplanting the anomalously located pulmonary artery fails to provide relief. The funnel trachea, if present, undergoes progressive stenosis, and will require surgical repair. The use of cardiopulmonary bypass permitted extensive mobilization of the tracheobronchial tree, and allowed us to perform a tension-free anastomotic reconstruction of the trachea.

Various Uses of Laryngeal Mask Airway during Tracheal Surgery

2021 ◽  
Author(s):  
Ali Celik ◽  
Muhammet Sayan ◽  
Aykut Kankoc ◽  
Ismail Tombul ◽  
Ismail Cüneyt Kurul ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Laryngeal Mask Airway ◽  
Tracheal Stenosis ◽  
Laryngeal Mask ◽  
Tracheal Resection ◽  
Tracheal Surgery ◽  
The Mean ◽  
End Tidal ◽  
End Tidal Co2

Abstract Background The use of laryngeal mask airway (LMA) ventilation in surgeries to be performed in upper tracheal stenosis has been reported in the case series. However, there is no generally accepted standardized approach for the use of LMA. In this study, LMA usage areas and advantages of trachea surgery were examined. Methods The records of 21 patients who underwent tracheal surgery using LMA ventilation between March 2016 and May 2020 were evaluated retrospectively. The patient data were analyzed according to age, gender, mean follow-up time, surgical indication, mean tracheal resection length, anastomosis duration, mean oxygen saturation, mean end-tidal CO2 levels, and postoperative complications. Results Four patients were female and 17 were male, their median age was 43 (11–72 range) and the mean follow-up time was 17.6 months. The most common surgical indication was postintubation tracheal stenosis. The mean tracheal resection length was 26.6 mm and the mean anastomosis duration was 11.3 minutes. The mean pulse oximetry and mean end-tidal CO2 during laryngeal mask ventilation was 97.6% ± 2.1 and 38.1 ± 2.8 mm Hg, respectively. Postoperative complications were higher in patients with comorbidities. Conclusion LMA-assisted tracheal surgery is a method that can be used safely as a standard technique in the surgery of benign and malignant diseases of both the upper and lower airway performed on pediatric patients, patients with tracheostomy, and suitable patients with tracheoesophageal fistula.

Experience with Tracheal Resection for Traumatic Tracheal Stenosis

1986 ◽  
Vol 94 (4) ◽  
pp. 444-450 ◽  
Author(s):  
Robert H. Miller ◽  
Alan F. Lipkin ◽  
Charles H. McCollum ◽  
Kenneth L. Mattox
Keyword(s):  
Tracheal Stenosis ◽  
Granulation Tissue ◽  
Conservative Therapy ◽  
Tracheal Resection ◽  
Anastomotic Site ◽  
Prolonged Intubation ◽  
Gunshot Injuries ◽  
Technical Details

Ten patients with traumatic tracheal stenosis—unresponsive to conservative therapy—underwent tracheal resection. Two of the stenoses resulted from gunshot injuries, three were due to prolonged intubation, and five developed after tracheotomy. Eight of the operations were completely successful. There was one death, and one patient has had recurrent granulation tissue at the anastomotic site. The pathogenesis of tracheal stenosis, as well as its treatment—including the technical details of tracheal resection—are discussed.

scholarly journals Functional outcome after (laryngo)tracheal resection and reconstruction for acquired benign (laryngo)tracheal stenosis

2018 ◽  
Vol 7 (2) ◽  
pp. 227-236 ◽  
Author(s):  
Simone T. Timman ◽  
Christiana Schoemaker ◽  
Wilson W. L. Li ◽  
Henri A. M. Marres ◽  
Jimmie Honings ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Tracheal Stenosis ◽  
Tracheal Resection

scholarly journals Tracheal Stenosis After Endotracheal Intubation and Percutaneous Dilatational Tracheostomy

2018 ◽  
Vol 26 (3) ◽  
pp. 238-242
Author(s):  
Camelia Herdini ◽  
Agus Surono ◽  
Supomo Supomo ◽  
Jessica Fedriana
Keyword(s):  
Endotracheal Intubation ◽  
Tracheal Stenosis ◽  
Traffic Accident ◽  
Vocal Fold ◽  
Primary Anastomosis ◽  
Percutaneous Dilatational Tracheostomy ◽  
Tracheal Ring ◽  
Tracheal Resection ◽  
Tracheal Lumen ◽  
Dilatational Tracheostomy

Introduction Tracheal stenosis is an abnormal narrowing of the tracheal lumen which affects adequate airflow and caused by an inflammatory complication such as endotracheal intubation and percutaneous dilatational tracheostomy (PDT). Incidence of tracheal stenosis following endotracheal intubation and PDT was 8-44%. Case Report A 24 year old female presented with dyspnea and hoarseness after traffic accident. She was intubated for 2 weeks then followed by PDT for 3 weeks. The laryngoscopy examination after PDT extubation showed tracheal stenosis at the second-third tracheal ring with left vocal fold granuloma. Cervical computed tomography demonstrated a mass at vocal cord and narrowing of tracheal caliber at the first thoracic vertebra disk, above the stoma of PDT.The granuloma was excised and tracheal stenosis was removed by tracheal resectionand end-to-end anastomosis.  Discussion Tracheal stenosis is one of important sequelae after endotracheal intubationand PDT. Tracheal resection and primary anastomosis may be considered as an option for surgical management of tracheal stenosis.

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