الفهرس | Only 14 pages are availabe for public view |
Abstract Tracheal stenosis can present very insidious catastrophic near-death episode requiring cardiopulmonary resuscitation. Many treatment modalities were proposed to treat tracheal stenosis such as endoscopic dilatation, laser assisted procedures, stenting and open surgical intervention like tracheal resection with end-to-end anastomosis or tracheoplasty. The present study conducted at the Department of Otorhinolaryngology in Alexandria University discussed our experience, drawbacks and outcome of tracheal resection with direct end-to-end anastomosis in post intubation cervical tracheal stenosis patients. Patients studied were two groups. A retrospective group, which included 20 patients with airway obstruction secondary to post intubation tracheal stenosis whom were operated with cervical tracheal resection with end-to-end anastomosis in the period of five years (January 2015 to May 2019). The second was a prospective group: included 7 patients with post intubation tracheal stenosis whom were being operated with cervical tracheal resection with end-to-end anastomosis between January-September 2020. Patients of the Retrospective group were reviewed for demographic data, nature of tracheal obstruction, cause of tracheal obstruction, length and diameter of the stenotic segment(s) as well as the distance from the vocal cords. That’s in addition to the cause and duration of intubation. tracheostomized or not at presentation, postoperative follow up and postoperative morbidity and mortality. |