[Tracheal resection-anastomosis for iatrogenic stenosis. Experience in 340 cases].

Abstract:

:Since 1975, 340 patients were treated by tracheal sleeve resection for tracheal or subglottic laryngeal iatrogenic stenoses in our unit. Preoperative iterative Nd YAG laser sessions have usually been performed, without success. The length of the sleeve specimen was an average of 3 1/4 cm. Twelve patients died on the post operative course (3.5%), 3 more patients died later after failure of the procedure (0.9%) and nineteen had recurrent stenoses treated with use of a tracheostomy tube, a permanent Montgomery tube, or an endotracheal stent (5.6%). Three hundred and six patients are definitely cured (90%), at the first attempt for 265 patients, after a laser session for granulomas for 20 patients, after a second tracheal resection for 6 patients and after a temporary Montgomery tube for 15 patients. Providing there is a good selection of the patients, tracheal sleeve resection is the best treatment for iatrogenic stenosis.

journal_name

Rev Mal Respir

authors

Bonnette P,Colchen A,Leroy M,Bisson A

subject

Has Abstract

pub_date

1998-10-01 00:00:00

pages

627-32

issue

5

eissn

0761-8425

issn

1776-2588

journal_volume

15

pub_type

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