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ISSN 1405-0099 (Print)

2004, Number 3

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Cir Gen 2004; 26 (3)

The most complex of the post-intubation stenoses: subglottic

Peña GJF, Ramírez MME, Castro IS, Jurado RJ, Chong H

Language: Spanish
References: 21
Page: 163-168
PDF size: 255.37 Kb.


ABSTRACT

Objective: To review the etiology and the results of surgical treatment by means of thyrotracheal anastomosis in subglottic stenosis.
Patients and methods: We studied 86 patients with subglottic stenosis subjected to laryngo-tracheal reconstruction by means of partial cricoid resection and thyrotracheal anastomosis.
Results: From the 86 patients, 75 (87%) had a history of previous orotracheal intubation, 11 (8%) had other antecedents, such as scleroma, direct trauma, recurring and idiopathic polychondritis, hamartoma, amiloidosis. Immediate results were good in 82 (95%). Follow-up at one year was only possible in 76 patients, from these the thyrotracheal anastomosis was successful in 67 (89%) cases and in 9 cases re-stenosis had to be performed. Two patients died due to causes not related to the surgery itself.
Conclusion: Sub-glottic stenosis is frequent after orotracheal intubation, although other causes must be taken into account. The laryngo-tracheal reconstruction with thyrotracheal anastomosis and partial cricoid resection had 89% of good results. This procedure must be performed by a surgical team with ample experience in the area.


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