2011, Number 2
Otorrinolaringología 2011; 56 (2)
A low-risk technique for the treatment of subglottic and tracheal stenosis in adults
García RV, Acosta MDR, Velázquez RS, Cruz HJ, Akaki CM, Castillo VA, Rosas ZN, Ordóñez GR
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Language: Spanish
References: 8
Page: 55-62
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ABSTRACT
Objective: To standardize a technique with low complication rate for the treatment of subglottic and tracheal stenosis.Patients and method: Seventeen patients underwent stenosis resection with extension of the laryngotracheal lumen with or without stent placement and splinting with Montgomery T tube from October 2004 to September 2009. Inclusion criteria were patients with Cotton-Myers III -IV , over ten years old, with or without previous tracheotomy. Patients with congenital stenosis, tracheomalacia, tracheoesophageal fistula and hematologic disease were excluded.
Results: Fourteen patients were related to long-term intubation and three diagnosed as idiopathic stenosis. 52.9% were men. Patients were divided into three groups according to stenosis location, noting that laryngotracheal stenosis was the most common, followed by tracheal and subglottic stenosis at the end. The average percentage of lumen preoperative and after procedure was 9.1% and 73.3%, respectively. We found complications in 70.5% but were minimal, just related to improper cleaning, periestomal edema and granulomas. There were no fatal complications.
Conclusions: Stenosis resection with extension of the laryngotracheal lumen with or without stent placement and splinting with Montgomery T tube is an effective method for the treatment of laryngotracheal stenosis in adults with low incidence of complications.
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