gms | German Medical Science

GMS Current Posters in Otorhinolaryngology - Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery (DGHNOKHC)

ISSN 1865-1038

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Treatment of tracheal stenosis – our experience

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  • corresponding author Katya Assenova - ENT Clinic, Military Medical Academy, Sofia, Bulgaria
  • Stefan Stoyanov - Ministry of Interior - Medical Institute, Sofia, Bulgaria
  • Ventsislav Tsvetkov - Military Medical Academy, Sofia, Bulgaria
  • Doncho Donchev - Military Medical Academy, Sofia, Bulgaria

GMS Curr Posters Otorhinolaryngol Head Neck Surg 2017;13:Doc306

doi: 10.3205/cpo001860, urn:nbn:de:0183-cpo0018601

Published: April 26, 2017

© 2017 Assenova et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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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