Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Oct 25;33(1):15-18.
doi: 10.1080/08998280.2019.1680912. eCollection 2020 Jan.

Tracheal resection for tracheal stenosis

Aayla Jamil  1 , Sasha Still  2 , Gary S Schwartz  2 , Eitan Podgaetz  2 , David P Mason  2
Affiliations

Tracheal resection for tracheal stenosis

Aayla Jamil et al. Proc (Bayl Univ Med Cent). .

Abstract

Anatomically, patients with refractory tracheal stenosis benefit from tracheal resection, depending on the medical comorbidities or challenging tracheal anatomy, which is often the reason for denial of this option in these patients. We evaluated 15 patients undergoing tracheal resection at our institution from May 2016 through December 2017. Eleven patients had a history of previous tracheostomy, six in place at the time of resection. One had idiopathic stenosis with no known comorbidities. Major comorbidities included chronic obstructive pulmonary disease, non-insulin-dependent diabetes mellitus, hypertension, and cardiovascular disease. One had a left ventricular assist device, and one was a lung transplant recipient. All had primary resection through the cervical approach with a median length of 3.5 cm. Fourteen patients were eventually decannulated. One patient had re-resection 1 year later for recurrent stenosis. Twelve were alive at a median follow-up of 15 months with patent airways. In conclusion, tracheal stenosis patients have significant comorbidities that increase the risks after resection. However, these patients should still be considered for surgery for an improved quality of life and eventual resolution of severe stenosis.

Keywords: Endotracheal intubation; tracheal resection; tracheal stenosis.

PubMed Disclaimer

References

    1. Lee KH, Ko GY, Song HY, et al. Benign tracheobronchial stenoses: long-term clinical experience with balloon dilation. J Vasc Intervent Radiol. 2002;13:909–914. doi: 10.1016/S1051-0443(07)61774-6. - DOI - PubMed
    1. Menapace DC, Modest MC, Ekbom DC, et al. Idiopathic subglottic stenosis: long-term outcomes of open surgical techniques. Otolaryngol Head Neck Surg. 2017;156:906–911. doi: 10.1177/0194599817691955. - DOI - PubMed
    1. Perepelitsyn I, Shapshay SM. Endoscopic treatment of laryngeal and tracheal stenosis—has mitomycin C improved the outcome?. Otolaryngol Head Neck Surg. 2004;131:16–20. doi: 10.1016/j.otohns.2004.03.001. - DOI - PubMed
    1. Walters DM, Wood DE. Operative endoscopy of the airway. J Thorac Dis. 2016;8:S130. doi: 10.3978/j.issn.2072-1439.2016.01.72. - DOI - PMC - PubMed
    1. Stauffer JL, Olson DE, Petty TL. Complications and consequences of endotracheal intubation and tracheotomy: a prospective study of 150 critically ill adult patients. Am J Med. 1981;70:65–76. doi: 10.1016/0002-9343(81)90413-7. - DOI - PubMed

LinkOut - more resources