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Open Access Research article

Outcome of surgical treatment for proximal long segment post intubation tracheal stenosis

Reza Bagheri1, Mohammadreza Majidi2, Ehsan Khadivi3, Alireza Sharifian attar4* and Azadeh Tabari5

Author Affiliations

1 Cardio - Thoracic Surgery & Transplant Research Center, Emam Reza hospital, Faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran

2 Ghaem Hospital, Faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran

3 Emam Reza hospital, Faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran

4 Endoscopic & Minimally Invasive Surgery Research Center, Ghaem hospital, Faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran

5 Nuclear Medicine Research Center, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

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Journal of Cardiothoracic Surgery 2013, 8:35  doi:10.1186/1749-8090-8-35

Published: 1 March 2013

Abstract

Background

Post intubation long segment tracheal stenosis is a serious problem which usually requires multiple methods of treatment. The aim of this study was to evaluate the results of surgical treatment in long segment post intubation tracheal stenosis.

Methods

Between 2004 to 2008, 20 patients with proximal long segment tracheal stenosis and resection of over 40% of tracheal length, were analyzed in terms of age, sex, clinical symptoms, etiology of stenosis, length of stenosis and resection, role of suprahyoeid release with bilateral hyoeid bone cutting maneuver, post operative complications and life quality 3 year after surgery.

Results

M/F was 2/5, with the average age of 23.5 ± 0.5 years. Average length of stenosis was 4.2 ± 0.4 cm and the average length of resected segment was 5.2 ± 0.4 cm. Early postoperative complications occurred in 4 patients (20%), 5 patients (25%) had late stenosis and 4 of them were treated with multiple dilation and one patient needed tracheostomy and prolonged T. tube. We didn’t have any mortality. 80% of patients had excellent surgical results in follow up period.

Conclusion

Surgery is the best method of treatment in long and multi segment tracheal stenosis.

Keywords:
Long segment tracheal stenosis; Surgery; Releasing technique