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Endoscopic Treatment of Postintubation Tracheal Stenosis  
Petřík F., Fiala P. 

Klinika pneumologie a hrudní chirurgie, UK 3. LF a FN Na Bulovce, Praha 8, přednosta doc. MUDr. P. Zatloukal, CSc.
 


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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