Postintubation
Stenosis of the Trachea – Case Reviews
Belák J.1, Janík M.1, Vajó J.1, Sauka C.1, Kudláč M.1, Frigová L.2, Žák V.3, Michlík J.4
1II. chirurgická klinika UPJŠ LF, FN L. Pasteura Košice, Slovenská republika, prednosta MUDr. J. Belák, Ph.D.2Klinika rádiodiagnostiky a nukleárnej medicíny UPJŠ LF, FN L. Pasteura, Košice, Slovenská republika, prednostka doc. MUDr. T. Jurgová, CSc. 3Klinika pneumológie a ftizeológie UPJŠ LF, FN L. Pasteura Košice, Slovenská republika, prednostka prof. MUDr. R. Tkáčová, CSc. 4OAIM FN L. Pasteura Košice, Slovenská republika, primár MUDr. P. Beluš |
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Summary:
Stenoses of the respiratory tract are life threatening conditions of various origins. The authors give referrence on 21 patients
operated for postintubation stenoses of their trachea at the IInd Surgical Clinic of the UPJŠ Medical Faculty, the Faculty
Hospital of L. Pasteur in Košice, from 01. 01. 1999 to 30. 06. 2005. All patients had a tracheobronchoscopic examination and
a CT examination completed prior to the procedure. Within 24 hours of their admission, 9 patients were operated, 7 underwent
resection procedures and 2 patients had Montgomery’s T-cannula introduced. 12 patients had their procedures planned, and
were operated later than 24 hours after their admission. 10 patients underwent resections of the trachea, 2 had Montgomery’s Tcannula
implanted. The postoperative course following the resection of the trachea was without complications in 14 patients, 1
patient experienced transitional oedema in the anastomosis and 2 patients suffered restenoses. In this patient group, no fatal
case was recorded. The authors stress up multidisciplinary approach in the diagnostics and treatment of the postintubation stenoses
of trachea. In cases of postintubation stenoses of trachea, resection of the trachea with primary anastomosis represents
the most advantageous treatment approach for the patient.
Key words:
trachea – postintubation stenosis – resection of the trachea
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