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- Title
Presentación de una técnica de bajo riesgo para el alivio de estenosis subglóticas y traqueales en adultos.
- Authors
Román, Vianney García; Martínez, Diana R Acosta; Rodríguez, Sandra Velázquez; Hernández, Joel Cruz; Caballero, Matsuharu Akaki; Vergara, Agustín Castillo; Zúñiga, Nora Rosas; García, Rafael Ordóñez
- Abstract
OBJECTIVE To standardize a technique with low complication rate for the treatment of subglottic and tracheal stenosis. PATIENTS AND METHOD Seventeen patients underwent stenosis resection with extension of the laryngotracheal lumen with or without stent placement and splinting with montgomery T tube from October 2004 to September 2009. Inclusion criteria were patients with Cotton-myers III-IV, over ten years old, with or without previous tracheotomy. Patients with congenital stenosis, tracheomalacia, tracheoesophageal istula and hematologic disease were excluded. RESULTS Fourteen patients were related to long-term intubation and three diagnosed as idiopathic stenosis. 52.9% were men. Patients were divided into three groups according to stenosis location, noting that laryngotracheal stenosis was the most common, followed by tracheal and subglottic stenosis at the end. The average percentage of lumen preoperative and after procedure was 9.1% and 73.3%, respectively. We found complications in 70.5% but were minimal, just related to improper cleaning, periestomal edema and granulomas. There were no fatal complications. CONCLUSIONS Stenosis resection with extension of the laryngotracheal lumen with or without stent placement and splinting with Montgomery T tube is an effective method for the treatment of laryngotracheal stenosis in adults with low incidence of complications.
- Subjects
TRACHEAL stenosis; SURGICAL stents; SURGICAL complications; TRACHEOTOMY; BLOOD diseases; EDEMA; GRANULOMA; DISEASE incidence
- Publication
Anales de Otorrinolaringología Mexicana, 2011, Vol 56, Issue 2, p68
- ISSN
1665-5672
- Publication type
Article