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Corresponding Author

ibrahim, moataz

Document Type

Original Article

Abstract

Background: tracheal stenosis is a challenging condition for the otolaryngologist –head and neck surgeon. The incidence of post-intubation tracheal stenosis has been reported ranging from 10 to 19%. Aim of the study: To discuss and evaluate the tracheal resection and anastomosis operation in the treatment of Post- intubation Tracheal Stenosis. Patients and Methods: This statistical analysis was performed on 14 patients where Tracheal resection and anastomosis are used to treat Tracheal Stenosis after Prolonged Intubation in Department of Otorhinolaryngology, Al-Azhar University Hospitals. Results: This study included 14 male patients ranging in age from 15 to 49 years old, with an average age of 24.14286, with only tracheal stenosis after prolonged intubation, 11 patients fourth grade , 2 patients third grade, one patient second grade (70%) according to Myer and Cotton grade, they underwent tracheal resection and anastomosis and suprahyoid release for treatment of tracheal stenosis after prolonged intubation, the length of the stenotic segment ranged from1.5 to 4 cm (mean=2.7 cm). We achieved an overall success rate of 100%. Conclusion: Tracheal resection and anastomosis is a reliable surgical method for management of grade II failed to be treated endosopically, grade III and IV tracheal stenosis after prolonged intubation. This technique achieves best results in male patients when the stenosis is short segment, and not involving the cricoid cartilage. The grade of stenosis and history of previous endoscopic surgeries do not affect the surgical outcomes.

Keywords

Tracheal resection; Tracheal Stenosis; Prolonged Intubation

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