scholarly journals Cervical tracheal resection with cricotracheal anastomosis: experience in adults with grade III–IV tracheal stenosis

2010 ◽  
Vol 125 (6) ◽  
pp. 614-619 ◽  
Author(s):  
A M A El-Fattah ◽  
E Kamal ◽  
H E Amer ◽  
M Fouda ◽  
A E M A Elwahab ◽  
...  
Keyword(s):  
Tracheal Stenosis ◽  
Orotracheal Intubation ◽  
Difficult Problem ◽  
Tracheal Resection ◽  
Success Rates ◽  
University Hospitals ◽  
Surgical Emphysema ◽  
Male Patients ◽  
Lost To Follow Up ◽  
Grade Iii

AbstractIntroduction:Laryngotracheal stenosis is currently one of the most common complications associated with nasal and orotracheal intubation and tracheotomy. Once established, tracheal stenosis can be a complex and difficult problem to manage.Patients and methods:We retrospectively analysed 2004–2010 data for 12 male patients with postintubation cervical tracheal stenosis (grade III–IV) treated in the otolaryngology department, Mansoura University Hospitals. All patients had a tracheostomy at presentation, and all underwent tracheal resection with primary cricotracheal anastomosis and suprahyoid release.Results:Grade III stenosis was present in five patients (41.7 per cent) and grade IV stenosis in seven patients (58.3 per cent). The length of trachea resected ranged from 2 to 4 cm, representing one to four tracheal rings. In all 12 patients, the procedure allowed successful tracheotomy decannulation. Minor complications comprised surgical emphysema (n = 2) and wound infection (n = 1), and were managed conservatively. Major complications consisted of restenosis (n = 3), managed in two patients by repeated dilatation; one patient was lost to follow up.Conclusion:Segmental tracheal resection with cricotracheal anastomosis was successful in 11/12 (92 per cent) patients with severe cervical tracheal stenosis. The strategy for treatment of airway stenosis is now well established and success rates are high, with minimal or no sequelae.

Revision cricotracheal resection: our experience

2021 ◽  
Vol 135 (1) ◽  
pp. 57-63
Author(s):  
H A Ebada ◽  
A M A El-Fattah ◽  
A Tawfik
Keyword(s):  
Operative Technique ◽  
Curative Treatment ◽  
Success Rates ◽  
University Hospitals ◽  
Recurrent Stenosis ◽  
Cricotracheal Resection ◽  
Major Complications ◽  
Operative Complications ◽  
Surgical Emphysema ◽  
Operative Assessment

AbstractObjectiveThe incidence of recurrent stenosis after cricotracheal resection is 3–9.5 per cent. Management of such patients is challenging. This study aimed to review our experience in revision cricotracheal resection.MethodsThe study was conducted in the Otorhinolaryngology Department, Mansoura University Hospitals, Egypt, on nine patients with recurrent stenosis following cricotracheal resection. Revision cricotracheal resection was performed in all patients. Surgiflo was applied on the site of anastomosis to enhance healing.ResultsNo intra-operative complications were recorded. Minor post-operative complications occurred in two patients (surgical emphysema and temporary choking); no major complications were reported. Re-stenosis occurred in one patient. Successful decannulation was achieved in eight of the nine patients.ConclusionRevision cricotracheal resection is the definitive curative treatment for recurrent stenosis after previous unsuccessful resection. It has high success rates, provided that careful pre-operative assessment and meticulous operative technique are performed.

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.

scholarly journals Surgical outcome of percutaneous transhepatic gallbladder drainage in acute cholecystitis: Ten years’ experience at a tertiary care centre

2021 ◽  
Author(s):  
Szabolcs Ábrahám ◽  
Illés Tóth ◽  
Ria Benkő ◽  
Mária Matuz ◽  
Gabriella Kovács ◽  
...  
Keyword(s):  
Hospital Mortality ◽  
Acute Cholecystitis ◽  
Conversion Rate ◽  
Clinical Success ◽  
Definitive Treatment ◽  
Success Rates ◽  
Female Ratio ◽  
Gallbladder Drainage ◽  
Percutaneous Transhepatic Gallbladder Drainage ◽  
Grade Iii

Abstract Background Percutaneous transhepatic gallbladder drainage (PTGBD) plays an important role in the treatment of elderly patients and/or patients in poor health with acute cholecystitis (AC). The primary aim of this study is to determine how these factors influence the clinical outcome of PTGBD. Moreover, we assessed the timing and results of subsequent cholecystectomies. Patients and Methods We retrospectively examined the results of 162 patients undergoing PTGBD between 2010 and 2020 (male–female ratio: 51.23% vs. 48.77%; mean age: 71.43 ± 13.22 years). Patient’s performance status and intervention outcomes were assessed with clinical success rates (CSR) and in-hospital mortality. The conversion rate (CR) of possible urgent or delayed, elective laparoscopic cholecystectomies (LC) after PTGBD were analysed. Results PTGBD was the definitive treatment in 42.18% of patients, while it was a bridging therapy prior to cholecystectomy (CCY) for the other patients. CSR was 87.97%, it was only 64.29% in grade III AC. In 9.87% of the cases, urgent LC was necessary after PTGBD, and its conversion rate was approximately equal to that of elective LC (18.18 vs. 17.46%, respectively, p = 0.2217). Overall, the post-PTGBD in-hospital mortality was 11.72%, while the same figure was 0% for grade I AC, 7.41% for grade II and 40.91% for grade III. Based on logistic regression analyses, in-hospital mortality (OR 6.07; CI 1.79–20.56), clinical progression (OR 7.62; CI 2.64–22.05) and the need for emergency CCY (OR 14.75; CI 3.07–70.81) were mostly determined by AC severity grade. Conclusion PTGBD is an easy-to-perform intervention with promising clinical success rates in the treatment of acute cholecystitis. After PTGBD, the level of gallbladder inflammation played a decisive role in the course of AC. In a severe, grade III inflammation, we have to consider low CSR and high mortality.

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

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 Vitamin D status in hospitalized male patients in Ain Shams University Hospitals and relation to body composition

2016 ◽  
Vol 43 (3) ◽  
pp. 150 ◽  
Author(s):  
Menna El Araby ◽  
HebaY Kamel ◽  
TomaderT Abdel Rahman ◽  
WessamS Sayed ◽  
AhmedK Mortagy
Keyword(s):  
Vitamin D ◽  
Body Composition ◽  
Vitamin D Status ◽  
University Hospitals ◽  
Male Patients

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.

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