Postintubation Stenosis of the Trachea – Case Reviews

Czech version

Authors: J. Belák ¹; M. Janík ¹; J. Vajó ¹; C. Sauka ¹; M. Kudláč ¹; L. Frigová ²; V. Žák ³; J. Michlík ⁴
Authors‘ workplace: II. chirurgická klinika UPJŠ LF, FN L. Pasteura Košice, Slovenská republika, prednosta MUDr. J. Belák, Ph. D. ¹; Klinika rádiodiagnostiky a nukleárnej medicíny UPJŠ LF, FN L. Pasteura, Košice, Slovenská republika prednostka doc. MUDr. T. Jurgová, CSc. ²; Klinika pneumológie a ftizeológie UPJŠ LF, FN L. Pasteura Košice, Slovenská republika, prednostka prof. MUDr. R. Tkáčová, CSc. ³; OAIM FN L. Pasteura Košice, Slovenská republika, primár MUDr. P. Beluš ⁴
Published in: Rozhl. Chir., 2006, roč. 85, č. 6, s. 260-264.
Category: Monothematic special - Original

Overview

Stenoses of the respiratory tract are life threatening conditions of various origins. The authors give referrence on 21 patients operated for postintubation stenoses of their trachea at the II^nd Surgical Clinic of the UPJŠ Medical Faculty, the Faculty Hospital of L. Pasteur in Košice, from 01. 01. 1999 to 30. 06. 2005. All patients had a tracheobronchoscopic examination and a CT examination completed prior to the procedure. Within 24 hours of their admission, 9 patients were operated, 7 underwent resection procedures and 2 patients had Montgomery’s T-cannula introduced. 12 patients had their procedures planned, and were operated later than 24 hours after their admission. 10 patients underwent resections of the trachea, 2 had Montgomery’s Tcannula implanted. The postoperative course following the resection of the trachea was without complications in 14 patients, 1 patient experienced transitional oedema in the anastomosis and 2 patients suffered restenoses. In this patient group, no fatal case was recorded. The authors stress up multidisciplinary approach in the diagnostics and treatment of the postintubation stenoses of trachea. In cases of postintubation stenoses of trachea, resection of the trachea with primary anastomosis represents the most advantageous treatment approach for the patient.

Key words:
trachea – postintubation stenosis – resection of the trachea