Diagnosis and treatment of postintubation tracheal stenosis
Dzhafarov, C.M.; Israfilova, S.B.; Rustamsade, U.C.
Klinichna Khirurhiia 1: 42-45
2012
ISSN/ISBN: 0023-2130 PMID: 22642088 Document Number: 657615
There was analyzed the experience of diagnosis and surgical treatment of 61 patients, aged from 2 to 69 years old, including 43 (70.5%) men and 18 (29.5%) women, in whom after a tracheal intubation with durable pulmonary ventilation, performed for an acute respiratory insufficiency, a tracheal stenosis have had occurred. A tracheal stenosis was manifested by a stridorous kind of respiration, the diagnosis was confirmed by the endoscopic investigation and a computer tomography data. Conservative and endoscopic treatment was effective in 10 (16.4%) patients, operative intervention--circular resection with a primary tracheal anastomosis formation and a staged treatment with tracheostomy and a T-kind silicone tube insertion--was performed in 51 (83.6%) patients. Good and fair results were achieved in 70% of the patients.