scholarly journals Tracheal resection with end-to-end anastomosis for post-intubation cervical tracheal stenosis: study of 14 cases

2011 ◽  
Vol 125 (9) ◽  
pp. 958-961 ◽  
Author(s):  
R Nandakumar ◽  
C Jagdish ◽  
C B Prathibha ◽  
C Shilpa ◽  
V Sreenivas ◽  
...  
Keyword(s):  
Tracheal Stenosis ◽  
Relevant Literature ◽  
Long Term Results ◽  
Definitive Treatment ◽  
Tracheal Resection ◽  
Airway Patency ◽  
End To End ◽  
Cervical Trachea ◽  
Post Intubation

AbstractBackground and objectives:The incidence of acquired laryngeal stenosis is increasing. This retrospective study aimed to assess the long term results of circumferential resection with end-to-end tracheal anastomosis for isolated post-intubation stenosis of the cervical trachea, and to review the relevant literature.Methods:Twelve male and two female patients (aged 16–30 years, mean age 24 years) treated between February 2003 and December 2008 were included. Hospital and office records were reviewed and relevant surgical details recorded.Results:Indications for tracheal resection anastomosis were post-intubation stenosis (78.57 per cent) and trauma (21.42 per cent). One to five tracheal rings were resected (i.e. 1–2.5 cm of cervical trachea). Tracheal anastomosis was considered successful if the patient remained asymptomatic for 24 months of close follow up (involving regular flexible bronchoscopy and neck X-ray). The anastomotic success rate was 92.85 per cent.Conclusion:Tracheal resection and end-to-end anastomosis is relatively safe and reliable for definitive treatment of benign tracheal stenosis in appropriate patients. Local application of mitomycin C prevents granulation and aids long term airway patency.

Long-term results of bronchoscopic cryotherapy for post-intubation tracheal stenosis

2018 ◽  
Author(s):  
Evangelos Balis ◽  
Konstantinos Kotsifas ◽  
Nikolaos Tatsis ◽  
Angeliki Papanikolaou ◽  
Stavroula Boulia ◽  
...  
Keyword(s):  
Tracheal Stenosis ◽  
Long Term Results ◽  
Post Intubation

scholarly journals CPAP after endoscopic procedures as add-on therapy for the treatment of tracheal stenosis: a case series

2019 ◽  
Vol 89 (3) ◽  
Author(s):  
Adriano Gesuele ◽  
Simone Gambazza ◽  
Marta Lazzeri ◽  
Serena Conforti
Keyword(s):  
Tracheal Stenosis ◽  
Positive Airway Pressure ◽  
Positive Impact ◽  
Case Series ◽  
Long Term Results ◽  
Tracheal Resection ◽  
Endoscopic Procedures ◽  
Frequent Relapses

Tracheal stenosis represents a possible complication in intubated or tracheotomised patients. Tracheal resection is currently the gold standard for the treatment of complex stenosis while granulomas and simple stenosis (e.g., web-like) are often treated by endoscopic procedures, which do not consistently give satisfactory long-term results, due to frequent relapses. Administering continuous positive airway pressure (CPAP) after endoscopic procedures might represent a new add-on option for the treatment of this complication. In this case series are presented two patients with tracheal stenosis showed after the removal of tracheostomy tube, both treated with CPAP. The results were straightforward: CPAP treatment helped to keep stable the tracheal lumen, without adverse effects. No further endoscopic dilations were necessary thereafter, with a likely positive impact on patients’ quality of life and on health expenditure.

scholarly journals Tracheal Resection and Anastomosis for Postintubation Tracheal Stenosis

2014 ◽  
Vol 2 (2) ◽  
pp. 48
Author(s):  
Anup Acharya ◽  
Madan Mohan Singh ◽  
Yeshwant Gajanan Tambay
Keyword(s):  
Intensive Care Unit ◽  
Tracheal Intubation ◽  
Tracheal Stenosis ◽  
High Volume ◽  
Definitive Treatment ◽  
Tracheal Resection ◽  
Tubercular Meningitis ◽  
Pressure Cuff ◽  
Post Intubation ◽  
Resection And Anastomosis

Introduction: Tracheal stenosis is one of the dreaded complication of tracheal intubation. Tracheal resection and anastomosis is an established definitive treatment for stenosis more than one cm. Here, we present a case of postintubation tracheal stenosis managed by resection and anastomosis, first of its kind in our centre. Case Report: We present a case of 26-year female who underwent tracheal intubation during her treatment of tubercular meningitis. Two weeks later, she returned with respiratory difficulty. A diagnosis of post-intubation tracheal stenosis was made. Tracheal resection and anastomosis was done. Recovery was uneventful and she was discharged on 14th post-operative day. Conclusion: Post-intubation tracheal stenosis is still a dreaded complication even after the introduction of high volume low pressure cuff. They can be successfully managed. Care personnel in intensive care unit (ICU) should perform to prevent this complication.

Tracheal Resection with End-to-End Anastomosis for Isolated Postintubation Cervical Trachea Stenosis: Long-Term Results

1996 ◽  
Vol 105 (12) ◽  
pp. 944-948 ◽  
Author(s):  
Ollivier Laccourreye ◽  
Philippe Naudo ◽  
Daniel Brasnu ◽  
Véronique Jouffre ◽  
Regis Cauchois ◽  
...  
Keyword(s):  
Success Rate ◽  
Long Term Results ◽  
Tracheal Resection ◽  
Consecutive Series ◽  
Success Rates ◽  
Nerve Paralysis ◽  
Superficial Wound ◽  
Initial Injury ◽  
End To End ◽  
Cervical Trachea

A 20-year experience with end-to-end tracheal resection and anastomosis for isolated postintubation stenosis of the cervical trachea, in a consecutive series of 32 adult patients, has been reviewed. Surgical death was never encountered. The overall incidences for superficial wound infection, pneumonia, and inferior left laryngeal nerve paralysis were 6.2%, 3.1%, and 3.1%, respectively. One-, 3-and 5-year actuarial anastomosis success rates were 96.7%, 93.3%, and 93.3%, respectively. Successful revision tracheal end-to-end anastomosis was performed once, resulting in an overall 96.9% success rate in our series. None of the following variables — sex, age, cause for intubation, intubation type (laryngotracheal and/or tracheotomy) and duration, delay from initial injury, presence of an open stoma, number of tracheal rings resected, and type of sutures used — were statistically related to the anastomosis success rate or the incidence of complications.

scholarly journals Long-term Results for the BacJac Interspinous Device in Lumbar Spine Degenerative Disease

2018 ◽  
Vol 80 (01) ◽  
pp. 003-007 ◽  
Author(s):  
Aldo Spallone ◽  
Luigi Lavorato ◽  
Daniele Belvisi
Keyword(s):  
Lumbar Spine ◽  
Influencing Factor ◽  
Relevant Literature ◽  
Long Term Results ◽  
Surgical Technology ◽  
Disability Scale ◽  
Interspinous Device ◽  
Satisfactory Outcome ◽  
The One

Objective To evaluate the long-term results of using the BacJac interspinous device (Pioneer Surgical Technology Inc.) in a series of patients with degenerative lumbar spine disease. Methods Forty-one patients undergoing lumbar surgery with implantation of a BacJac device from 2009 to 2012 were enrolled in the present study. Patients were evaluated using the Oswestry Disability Scale (ODI). Results Although all patients showed a significant improvement of the ODI score immediately after surgery, only 41% of patients showed a satisfactory outcome. We observed worse results in the patients operated on at the L3–L4 level and in whom the device was implanted in a segment different from the one where surgical decompression had been performed. Weight gain in the months after surgery was also a poor outcome-influencing factor. Conclusions This study confirms what is already suggested in the relevant literature regarding the long-term inefficacy of the so-called dynamic stabilization devices.

scholarly journals Geniculate Neuralgia: Long-term Results of Surgical Treatment

2002 ◽  
Vol 81 (1) ◽  
pp. 30-33 ◽  
Author(s):  
Jack L. Pulec
Keyword(s):  
Middle Cranial Fossa ◽  
Long Term Results ◽  
Definitive Treatment ◽  
Geniculate Ganglion ◽  
Long Term Outcomes ◽  
Neuralgic Pain ◽  
Gradual Onset ◽  
Cranial Fossa ◽  
Nervus Intermedius

A rare cause of otalgia is geniculate neuralgia. In its most typical form, it is characterized by severe paroxysmal neuralgic pain centered directly in the ear. The pain can be of a gradual onset and of a dull, persistent nature, but occasionally it is sharp and stabbing. When the pain becomes intractable, an operation to surgically excise the nervus intermedius and geniculate ganglion via the middle cranial fossa approach is indicated. The purpose of this article is to review the long-term outcomes in 64 patients who were treated in this manner. Findings indicate that excision of the nervus intermedius and geniculate ganglion can be routinely performed without causing facial paralysis and that it is an effective definitive treatment for intractable geniculate neuralgia.

scholarly journals Long-term Results of a Primary End-to-end Anastomosis in Peroperative Detected Bile Duct Injury

2007 ◽  
Vol 11 (3) ◽  
pp. 296-302 ◽  
Author(s):  
P. R. de Reuver ◽  
O. R. C. Busch ◽  
E. A. Rauws ◽  
J. S. Lameris ◽  
Th. M. van Gulik ◽  
...  
Keyword(s):  
Bile Duct ◽  
Bile Duct Injury ◽  
Long Term Results ◽  
End To End

Long-term Results of Definitive Treatment in Elderly Patients with Localized Prostate Cancer

1998 ◽  
Vol 5 (6) ◽  
pp. 546-549 ◽  
Author(s):  
Hiroshi Kanamaru ◽  
Yoichi Arai ◽  
Seiji Moroi ◽  
Hiroshi Yoshida ◽  
Koji Yoshimura ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Elderly Patients ◽  
Localized Prostate Cancer ◽  
Long Term Results ◽  
Definitive Treatment
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