scholarly journals Case series of endoscopic treatment of post-intubation tracheal stenosis

2021 ◽  
pp. 101561
Author(s):  
Salim Salloum ◽  
Michel Tawk ◽  
Ralph nehme ◽  
Dima Siblani ◽  
Youssef Haddad
2021 ◽  
Vol 5 (2) ◽  

Objectives: to find out the long-term results of tracheal reconstruction in terms of presentation, operation, complications, and outcomes of tracheal reconstruction. Methods: In this case-series study, the patients who developed post-intubation tracheal stenosis following respiratory failure were followed up for two years for the possible complications. The patients were diagnosed by experienced pulmonologist in two surgical centers, Erbil and Sulaimaniya in Iraqi Kurdistan in 2017. Results: The number of patients who were included in this study was 20; including males (n=13) and females (n=7) ranged between 18-58 years. The causes of the stenosis in patients were post-intubation (n=18) and post-tracheostomy for trauma (n=5). Most patients underwent extubation after 72 hours. The Myer-Cotton Grade of stenosis were grade 1 (n=1), grade 2 (n=13), and grade 3 (n=6). The major complications were dehiscence (n=3) and anastomotic edema (n=5). The minor complications were granulation (n=13) and mild anastomotic edema (n=1). One patient developed a surgical site infection and one patient developed a mild infection. The anastomotic fibrin deposition was developed in five patients. All patients had excellent satisfaction except for two patients (unsatisfactory). One of these patients died at month 1. The patients had normal medical conditions at different times of follow-ups. Conclusions: This study showed that the results of the patients with post-traumatic tracheal stenosis were acceptable at different times for most of them.


2018 ◽  
Vol 57 (3) ◽  
Author(s):  
Simone Scarlata ◽  
Chiara Rivera ◽  
Massimiliano Carassiti ◽  
Felice E. Agrò ◽  
Vincenzo Denaro ◽  
...  

Medicina ◽  
2021 ◽  
Vol 57 (3) ◽  
pp. 251
Author(s):  
Ji-Won Park ◽  
Yousang Ko ◽  
Changhwan Kim

Background and Objectives: Tracheal or bronchial tears are potential complications of rigid bronchoscopy. This study aimed to investigate the acute complications and outcomes of using an insulation-tipped (IT) knife in combination with rigid bronchoscopic dilatation for treating benign tracheobronchial stenosis. Materials and Methods: We conducted a chart review of patients with benign tracheobronchial stenosis who were treated with rigid bronchoscopy and an IT knife at two referral centers. Treatment success was defined as a clinically stable state without worsening symptoms after 3 months of treatment. Results: Of the 23 patients with benign tracheobronchial stenosis, 15 had tracheal stenosis and 6 had main bronchial stenosis. Among them, three cases were of simple stenosis (13%), while the others were of complex stenosis (87%). The overall treatment success rate was 87.0%. Pneumomediastinum and subcutaneous emphysema occurred due to bronchial laceration in two cases of distal left main bronchial stenosis (8.7%), and no other significant acute complications developed. Silicone stents were inserted in 20 patients, and successful stent removal was possible in 11 patients (55.0%). Six of the seven stents inserted in patients with post-intubation tracheal stenosis were removed successfully (85.7%). However, most of the patients with post-tracheostomy tracheal stenosis required persistent stenting (80%). Pulmonary function was significantly increased after treatment, and the mean increase in the forced expiratory volume in 1 s was 391 ± 171 mL (160–700 mL). Conclusion: The use of an IT knife can be suggested as an effective and safe modality for rigid bronchoscopic treatment of benign tracheobronchial stenosis.


2014 ◽  
Vol 123 (4) ◽  
pp. 293-298 ◽  
Author(s):  
Nopawan Vorasubin ◽  
Darshni Vira ◽  
Nausheen Jamal ◽  
Dinesh K. Chhetri

Endoscopy ◽  
2009 ◽  
Vol 42 (02) ◽  
pp. 169-172 ◽  
Author(s):  
J. Lee ◽  
J. Moon ◽  
H. Choi ◽  
A. Song ◽  
E. Jung ◽  
...  

2020 ◽  
Vol 48 (4) ◽  
pp. 030006052091126
Author(s):  
Ji-A Song ◽  
Hong-Beom Bae ◽  
Jeong-Il Choi ◽  
Jeonghyeon Kang ◽  
Seongtae Jeong

In the operating room, unanticipated difficult intubation can occur and anesthesiologists can experience challenging situations. Undiagnosed tracheal stenosis caused by congenital factors, trauma, tumors, or post-intubation injury, can make advancing the endotracheal tube difficult. We present an adult patient in whom we were unable to pass an endotracheal tube into the trachea. This was caused by undiagnosed congenital mid-tracheal stenosis with complete tracheal rings. When faced with an unanticipated difficult airway, the anesthesiologist needs to comprehend the results of preoperative evaluations. If an unusual situation (e.g., congenital tracheal stenosis) occurs, active cooperation with other departments should be considered.


2017 ◽  
Vol 3 ◽  
pp. 102-102 ◽  
Author(s):  
Alfonso Fiorelli ◽  
Roberto Cascone ◽  
Davide Di Natale ◽  
Matteo Pierdiluca ◽  
Rossella Mastromarino ◽  
...  

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