医学
外科
声门下狭窄
狭窄
气管狭窄
吻合
耳鼻咽喉科
环状软骨
病因学
喉气管狭窄
颈部损伤
喉
放射科
气道
毒物控制
内科学
环境卫生
作者
Hisham Atef Ebada,Ahmed Musaad Abd El‐Fattah,Eman H. Salem,Mohammed Yahia Elkotb,Elsharawy Kamal,Ali Tawfik
标识
DOI:10.1016/j.anl.2020.01.004
摘要
Objectives This study was conducted to review our experience in Otorhinolaryngology Department, Mansoura University Hospitals, Egypt, in the last 2 years in the management of high-risk patients who underwent cricotracheal resection due to different pathologies. Methods This case series included nine patients with severe, grade III or IV subglottic / cervical tracheal stenosis. These patients were considered high risk patients due to unusual pathology / etiology of stenosis or associated surgical field morbidity. Four patients had recurrent stenosis after previous unsuccessful cricotracheal resection, three patients had subglottic stenosis due to external neck trauma which compromised the surgical field. One patient had upper tracheal neoplasm, and in 1 patient there was upper tracheal stenosis associated with tracheo-esophageal fistula. Results Successful decannulation was achieved in all patients (n = 9) without any reported major intraoperative or postoperative compilations. Conclusion Cases of subglottic / upper tracheal stenosis due to uncommon pathologies like neoplastic lesions, external neck trauma compromising the surgical field and revision cricotracheal resection, can be successfully managed by cricotracheal resection. However, a highly skilled team, well familiar with these surgeries, is mandatory to achieve an optimum outcome.
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