E-ISSN 0976-2833 | ISSN 0975-3583
 

Research Article 


Surgical Outcomes of Post Intubation Tracheal Stenosis (Endotracheal Tube and/or Tracheostomy Tube)

Tarek Mohsen, Waleed Adel, Ibrahim Radwan, Asherf Helal, Samy amin.

Abstract
Background: Tracheal intubation for long time can lead to tracheal stenosis at different levels
from the tip of endotracheal tube up to the subglottic and glottis area. The most common sites are
the cuff of endotracheal tube and the stoma after tracheostomy. We have variable choices for the
treatment including laser, endoscopic dilatation, tracheal stents, and tracheal resection.
Patients and Methods: this is aprospective study of 40 patients who had tracheal stenosis after
prolonged intubation. We admitted them to the thoracic surgery unit in Kasr Alainy Hospital,
Cairo University from the period between October 2018 and October 2019 and were managed by
bronchoscopic dilatation initially followed by primary tracheal resection and re-anastomosis.
Results: Tracheal resection and re-anastomosis was successful in 38 patients (95%) with
excellent results and no post-operative symptoms. Regarding complications in the study only two
patients developed recurrent tracheal stenosis following primary resection and re-anastomosis
who needed permanent tracheostomy .One mortality case due to cardiac cause.
Conclusion: Tracheal resection and re-anastomosis is an excellent definitive management
regarding complete symptomatic resolution, total hospital stay and interventional complication.
Regarding the timing of application, success in early stages of disease onset without the need for
prolonged conservative management is more superior to its delayed application to avoid disease
progression

Key words: Benign tracheal stenosis, Post-intubation stenosis, Tracheostomy, Tracheal resection and re-anastomosis, Bronchoscopic dilatation


 
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How to Cite this Article
Pubmed Style

Tarek Mohsen, Waleed Adel, Ibrahim Radwan, Asherf Helal, Samy amin. Surgical Outcomes of Post Intubation Tracheal Stenosis (Endotracheal Tube and/or Tracheostomy Tube). J Cardiovasc. Dis. Res.. 2021; 12(5): 944-951. doi:10.31838/jcdr.2021.12.05.125


Web Style

Tarek Mohsen, Waleed Adel, Ibrahim Radwan, Asherf Helal, Samy amin. Surgical Outcomes of Post Intubation Tracheal Stenosis (Endotracheal Tube and/or Tracheostomy Tube). http://www.jcdronline.org/?mno=122507 [Access: September 10, 2021]. doi:10.31838/jcdr.2021.12.05.125


AMA (American Medical Association) Style

Tarek Mohsen, Waleed Adel, Ibrahim Radwan, Asherf Helal, Samy amin. Surgical Outcomes of Post Intubation Tracheal Stenosis (Endotracheal Tube and/or Tracheostomy Tube). J Cardiovasc. Dis. Res.. 2021; 12(5): 944-951. doi:10.31838/jcdr.2021.12.05.125



Vancouver/ICMJE Style

Tarek Mohsen, Waleed Adel, Ibrahim Radwan, Asherf Helal, Samy amin. Surgical Outcomes of Post Intubation Tracheal Stenosis (Endotracheal Tube and/or Tracheostomy Tube). J Cardiovasc. Dis. Res.. (2021), [cited September 10, 2021]; 12(5): 944-951. doi:10.31838/jcdr.2021.12.05.125



Harvard Style

Tarek Mohsen, Waleed Adel, Ibrahim Radwan, Asherf Helal, Samy amin (2021) Surgical Outcomes of Post Intubation Tracheal Stenosis (Endotracheal Tube and/or Tracheostomy Tube). J Cardiovasc. Dis. Res., 12 (5), 944-951. doi:10.31838/jcdr.2021.12.05.125



Turabian Style

Tarek Mohsen, Waleed Adel, Ibrahim Radwan, Asherf Helal, Samy amin. 2021. Surgical Outcomes of Post Intubation Tracheal Stenosis (Endotracheal Tube and/or Tracheostomy Tube). Journal of Cardiovascular Disease Research, 12 (5), 944-951. doi:10.31838/jcdr.2021.12.05.125



Chicago Style

Tarek Mohsen, Waleed Adel, Ibrahim Radwan, Asherf Helal, Samy amin. "Surgical Outcomes of Post Intubation Tracheal Stenosis (Endotracheal Tube and/or Tracheostomy Tube)." Journal of Cardiovascular Disease Research 12 (2021), 944-951. doi:10.31838/jcdr.2021.12.05.125



MLA (The Modern Language Association) Style

Tarek Mohsen, Waleed Adel, Ibrahim Radwan, Asherf Helal, Samy amin. "Surgical Outcomes of Post Intubation Tracheal Stenosis (Endotracheal Tube and/or Tracheostomy Tube)." Journal of Cardiovascular Disease Research 12.5 (2021), 944-951. Print. doi:10.31838/jcdr.2021.12.05.125



APA (American Psychological Association) Style

Tarek Mohsen, Waleed Adel, Ibrahim Radwan, Asherf Helal, Samy amin (2021) Surgical Outcomes of Post Intubation Tracheal Stenosis (Endotracheal Tube and/or Tracheostomy Tube). Journal of Cardiovascular Disease Research, 12 (5), 944-951. doi:10.31838/jcdr.2021.12.05.125





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