Artikel
Treatment of tracheal stenosis – our experience
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Autoren
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Katya Assenova
- ENT Clinic, Military Medical Academy, Sofia, Bulgaria
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Stefan Stoyanov
- Ministry of Interior - Medical Institute, Sofia, Bulgaria
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Ventsislav Tsvetkov
- Military Medical Academy, Sofia, Bulgaria
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Doncho Donchev
- Military Medical Academy, Sofia, Bulgaria
| Veröffentlicht: | 26. April 2017 |
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Gliederung
Abstract
In cases of tracheal stenosis, tracheal resection and anastomosis is widely accepted as the procedure of choice. It has excellent results, reported in many large series. When the subglottis is involved, surgical treatment is more difficult and complex laryngotracheal techniques are necessary.
Our aim is to discuss the indications for laryngotracheal surgey, provide step-by-step explanation of the technique and share our results in cases with benign tracheal stenosis. An algorithm for laryngotracheal technique selection according to different criteria (stenosis location, vocal cords status and tracheal mucosa and/or cartilaginous larynx involvement) is depicted. A review of the most important reported series in tracheal surgery is presented.
In experienced hands the gold standard in laryngotracheal stenosis surgery is reconstruction with temporary laryngotracheal stent placement for prevention of airway collapse. This treatment has good results in 79% of the patients.
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