TITLE

Long-term results of laryngotracheal resection for benign stenosis

AUTHOR(S)
D’Andrilli, Antonio; Ciccone, Anna Maria; Venuta, Federico; Ibrahim, Mohsen; Andreetti, Claudio; Massullo, Domenico; Formisano, Rita; Rendina, Erino A.
PUB. DATE
March 2008
SOURCE
European Journal of Cardio-Thoracic Surgery;Mar2008, Vol. 33 Issue 3, p440
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Abstract: Objective: We report the long-term results of our 16-year experience with laryngotracheal resection for benign stenosis. Methods: Between 1991 and 2006, 35 consecutive patients (19 males, 16 females) underwent laryngotracheal resection for subglottic postintubation (32) or idiopathic (3) stenosis. Mean age was 43 years (range 14–71). At the time of surgery 13 patients presented with tracheostomy and 7 with a Dumon stent. The upper limit of the stenosis was from 0.6 to 1.5cm below the vocal cords. The length of airway resection ranged between 1.5 and 6cm. Suprahyoid release was performed in two patients and pericardial release in one. Nine patients had psychiatric and/or neurological post-coma disorders. Mean follow-up is over 5 years (61 months; range 3–194). Results: There was no perioperative mortality. Thirty patients (85.7%) had excellent or good anatomic and functional results. Four patients (11.4%) presented restenosis at a distance of 25–110 days from the operation. Restenosis was successfully treated by endoscopic procedures in all four patients. One patient (2.9%) presented anastomotic dehiscence that required temporary tracheostomy closed after 1 year with no sequelae. Three patients (8.4%) had wound infection. Long-term follow-up was uneventful also in patients who had early complications. Conclusions: Long-term follow-up confirms that laryngotracheal resection is the definitive curative treatment for benign subglottic stenosis. Surgical complications can be successfully managed by non-operative procedures. Despite the occurrence of early complications, excellent and stable results can still be obtained at long term.
ACCESSION #
30018614

 

Related Articles

  • Self-expandable metallic stents as palliative treatment for malignant colorectal obstruction. Tsurumaru, Daisuke; Hidaka, Hiromu; Okada, Satoko; Sakoguchi, Tarou; Matsuda, Hiroyuki; Matsumata, Takashi; Nomiyama, Hiroyuki; Utsunomiya, Takashi; Irie, Hiroyuki; Honda, Hiroshi // Abdominal Imaging;Sep/Oct2007, Vol. 32 Issue 5, p619 

    In recent years, stent placement for malignant colorectal obstruction has become an accepted alternative to surgery. The purpose of this study was to evaluate the usefulness of self-expandable metallic stents (SEMS) as palliative management for patients with unresectable malignant colorectal...

  • Use of self-expandable metal stents for the treatment of esophageal perforations and anastomotic leaks. Salminen, P.; Gullichsen, R.; Laine, S. // Surgical Endoscopy;Jul2009, Vol. 23 Issue 7, p1526 

    Esophageal perforations and extensive anastomotic leaks after esophageal resection or gastrectomy are surgical emergencies with high mortality rates. In recent years, the use of self-expanding metallic stents (SEMS) has emerged as a promising treatment alternative for bridging and sealing the...

  • Self-expanding metallic stents in the treatment of benign colorectal anastomotic strictures: a word of caution. Modarai, B.; Forshaw, M.; Parker, M. C.; Stewart, M. // Techniques in Coloproctology;Jun2008, Vol. 12 Issue 2, p127 

    A 66-year-old man underwent an anterior resection for carcinoma at the rectosigmoid junction. Three months later, a tight stricture developed proximal to the anastomosis. This was treated with a self-expanding metallic stent. Over the next few months, the stent fractured and a fistula developed...

  • BILIARY STENTS IN THE TREATMENT OF MALIGNANT DUCTAL OBSTRUCTION. Brandon, Jeffrey C.; Teplick, Steven K. // American Journal of Gastroenterology;Apr1996, Vol. 91 Issue 4, p627 

    Comments on a study which dealt with the use of endoscopic stent placement in patients with malignant biliary obstruction who were not candidates for surgical resection. Types of stents used; Popularity of palliative bile duct stenting for malignant bile duct obstruction; Implication of the...

  • Complications of colonic stenting: a pictorial review. Dharmadhikari, Rahul; Nice, Colin // Abdominal Imaging;May/Jun2008, Vol. 33 Issue 3, p278 

    Surgical resection of colorectal carcinoma is the only curative treatment currently available. In the elective setting peri-operative mortality is low and refinements in surgical technique and peri-operative care have resulted in high primary anastamosis rates and progressively reduced...

  • DIVERGE: bifurcated stent safe biolimus-eluting. Raible, Eric // Cardiology Today;Mar2009, Vol. 12 Issue 3, p19 

    The article deals with a study published in the "Journal of the American College of Cardiology" which focused on the safety of self-expanding bifurcated biolimus-eluting stents in bifurcation lesions.

  • NO-CLOG STENT. Matus, Jordan; Harrar, Sari // Prevention;Apr2002, Vol. 54 Issue 4, p168 

    Describes the CYPHER sirolimus-eluting stent, a metal scaffold that holds clogged arteries open, that helps to combat the problems encountered with older stents, where scar tissue grows around the stent site, threatening to block off the bloodflow.

  • cardiovalvulotome.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p371 

    A definition of the term "cardiovalvulotome" which refers to a device used to excise part of a valve is presented.

  • écrasement.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p721 

    A definition of the medical term "écrasement," which refers to an excision through the use of an écraseur, is presented.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics