Summary:
The aim of the prospective study was to validate efficiency
of endoscopic treatment of patients with postintubation
tracheal stenosis, which was accomplished according to
the following algorithm: After dilatation of stenosis
a Dumon stent was inserted. 6 months later the stent was
removed and the patients who developed restenosis were
operated. 8 patients were involved in the study. In 2
patients, it was necessary to leave the stent in place (in
one case because of persistent tracheostomy and in the
other one because of non-compliance of a patient), in 6
patients removal of the stent was accomplished.5 patients
developed restenosis on an average 19 days after the stent
removal and were successfully operated. One patient
remains without restenosis 9 moths from the stent
removal.
The endoscopic treatment can obviate the need for a surgery
in only small part of patients, but it gains time for
patients in poor general condition after resuscitative care.
Besides, it converts an emergency operation to a scheduled
one and improves conditions for surgeon during operation.
Key words:
tracheal stenosis, endoscopic treatment,
stent
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