SURGICALTREATMENT FOR UPPER AIRWAY STENOSIS SECONDARY TO TRACHEAL INTUBATION

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ABBASI AZIZ ELAH; SAEIDI FAROKH; BEHGAM SHADMEHR M.; ARAB MEHRDAD; AMJADI M.R.; PIRMOUAZEN N.A.D.; JAVAHERZADEH M.; MASJEDI M.R.; JABARI H.R.

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Journal: Journal of Medical Council of Iran Year:2000 | Volume:18 | Issue:3 Page(s): 185-191

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Title

SURGICALTREATMENT FOR UPPER AIRWAY STENOSIS SECONDARY TO TRACHEAL INTUBATION

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Keywords

TREATMENTQ3

AIRWAY STENOSISQ4

TRACHEAL INTUBATIONQ3

Abstract

During 5 years (1993-98), 89 pa tients suffering from tracheal stenosis or stenosis of the subglotic region secondary to TRACHEAL INTUBATION were treated in the department of General Thoracic Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Patients comprised of 27 females and 62 males. Mean age was 27.25 years; ranging between 3 to 83 years. The major cause of TRACHEAL INTUBATION in 56 of the patients had been accidents culminating in central nervous system damage and unconsciousness for a period of time in 9 of the patients, the cause of TRACHEAL INTUBATION had been attempted suicide and in 24 others causes such as trauma to chest, or abdomen, cardiac surgery, fall from height myasthenia gravis, Guillain Barre syndrome and diabetic coma were found. 16 patients had subglottic stenosis and 73 patients had tracheal stenosis. Direct causes of AIRWAY STENOSIS were: cuff of the tracheal tube in 69 patients, tip of the tracheal tube or tracheostomy tube in 12 patients, stoma of the tracheostomy and a combination of these causes were found in 5 patients.Seventy patients were treated by 73 resections and anastomoses and the other 19 patients were treated by nonsurgical procedures such as laser TREATMENTs bronchoscopic dilatation, T-tube insertion or temporary and permanent use of tracheostomy tubes.In 70 patients treated with resection and anastomosis of stenotic segments the final results had been excellent (74.2%), good in 9(12.8%), acceptable in 6(8.5%) and death in 3(4.2%). 3 of the patients were reoperated for stenosis following in initial resection and anastomosis.In 19 of the patients treated by methods other than resection and anastomosis the results had been excellent in 9 of the cases (47.3%), acceptable in another 9(47.3%) and death occuring in one case (5.2%).Mean length of follow- up was 9.87 months, which ranged from 0-60 months and foHow - up was complete in all patients. Resection and anastomosis is an appropriate TREATMENT for patients with postintubation AIRWAY STENOSIS. In a small number of cases, methods other than surgery such as laser therapy and dilation have been found to be satisfactory.

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APA: Copy

ABBASI, AZIZ ELAH, SAEIDI, FAROKH, BEHGAM SHADMEHR, M., ARAB, MEHRDAD, AMJADI, M.R., PIRMOUAZEN, N.A.D., JAVAHERZADEH, M., MASJEDI, M.R., & JABARI, H.R.. (2000). SURGICALTREATMENT FOR UPPER AIRWAY STENOSIS SECONDARY TO TRACHEAL INTUBATION. JOURNAL OF MEDICAL COUNCIL OF I.R.I., 18(3), 185-191. SID. https://sid.ir/paper/41446/en

Vancouver: Copy

ABBASI AZIZ ELAH, SAEIDI FAROKH, BEHGAM SHADMEHR M., ARAB MEHRDAD, AMJADI M.R., PIRMOUAZEN N.A.D., JAVAHERZADEH M., MASJEDI M.R., JABARI H.R.. SURGICALTREATMENT FOR UPPER AIRWAY STENOSIS SECONDARY TO TRACHEAL INTUBATION. JOURNAL OF MEDICAL COUNCIL OF I.R.I.[Internet]. 2000;18(3):185-191. Available from: https://sid.ir/paper/41446/en

IEEE: Copy

AZIZ ELAH ABBASI, FAROKH SAEIDI, M. BEHGAM SHADMEHR, MEHRDAD ARAB, M.R. AMJADI, N.A.D. PIRMOUAZEN, M. JAVAHERZADEH, M.R. MASJEDI, and H.R. JABARI, “SURGICALTREATMENT FOR UPPER AIRWAY STENOSIS SECONDARY TO TRACHEAL INTUBATION,” JOURNAL OF MEDICAL COUNCIL OF I.R.I., vol. 18, no. 3, pp. 185–191, 2000, [Online]. Available: https://sid.ir/paper/41446/en

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