Treatment Results and Postoperative Complications of Single-Stage Tracheal Resection in Adolescent Patients with Post-Intubation Tracheal Stenosis, Compared to Adults

Yıldırım, Muhammed Furkan; Coskun, H Hakan; Aslıer, Mustafa

doi:10.4274/tao.2022.2022-2-8

Treatment Results and Postoperative Complications of Single-Stage Tracheal Resection in Adolescent Patients with Post-Intubation Tracheal Stenosis, Compared to Adults

Mustafa ASLIER, (Bursa Uludağ Üniversitesi,Tıp Fakültesi,Kulak Burun Boğaz Baş Boyun Cerrahisi Anabilim Dalı,Bursa,Türkiye)

Muhammed Furkan YILDIRIM, (Bursa Uludağ Üniversitesi,Tıp Fakültesi,Kulak Burun Boğaz Baş Boyun Cerrahisi Anabilim Dalı,Bursa,Türkiye)

Hakan COŞKUN (Bursa Uludağ Üniversitesi,Tıp Fakültesi,Kulak Burun Boğaz Baş Boyun Cerrahisi Anabilim Dalı,Bursa,Türkiye)

Turkish archives of otorhinolaryngology

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Yıl: 2022 Cilt: 60 Sayı: 1 Sayfa Aralığı: 1 - 8 Metin Dili: İngilizce DOI: 10.4274/tao.2022.2022-2-8 İndeks Tarihi: 04-05-2023

Treatment Results and Postoperative Complications of Single-Stage Tracheal Resection in Adolescent Patients with Post-Intubation Tracheal Stenosis, Compared to Adults

Öz:

Objective: The purpose of this study was to analyze the treatment outcomes and postoperative complications of tracheal resection in patients under the age of 19 years with post-intubation tracheal stenosis, and to compare the results with those of adults. Methods: Data were retrospectively retrieved from the medical records, including demographic characteristics, perioperative features, any postoperative complications and follow-up statuses of the patients. Treatment results and postoperative complications were compared between adolescent and adult groups. Results: Overall, anastomotic and non-anastomotic complication rates in the adolescent group and the adult group were 40%, 40%, 10% and 63%, 44.4%, 33.3%, respectively. Overall treatment success rates based on tracheostomy tube and tracheal stent free status were 90% and 92.6% in adolescent and adults, respectively. Conclusion: Treatment success rates and incidence of anastomotic complications were found similar in patients under the age of 19 years and adult patients who underwent single-stage tracheal resection and end to end anastomosis for treatment of post-intubation tracheal stenosis.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Smith MM, Cotton RT. Diagnosis and management of laryngotracheal stenosis. Expert Rev Respir Med 2018; 12: 709- 17. [Crossref ]
2. Kanlikama M, Celenk F, Gonuldas B, Gulsen S. Cervical tracheal resection and anastomosis for postintubation tracheal stenosis. J Craniofac Surg 2018; 29: 578-82. [Crossref ]
3. Cardoso PFG, Bibas BJ, Minamoto H, Pêgo-Fernandes PM. Prophylaxis and treatment of complications after tracheal resection. Thorac Surg Clin 2018; 28: 227-41. [Crossref ]
4. Brigger MT, Boseley ME. Management of tracheal stenosis. Curr Opin Otolaryngol Head Neck Surg 2012; 20: 491-6. [Crossref ]
5. Bailey M, Hoeve H, Monnier P. Paediatric laryngotracheal stenosis: a consensus paper from three European centres. Eur Arch Otorhinolaryngol 2003; 260: 118-23. [Crossref ]
6. Preciado D, Cotton RT, Rutter MJ. Single-stage tracheal resection for severe tracheal stenosis in older children. Int J Pediatr Otorhinolaryngol 2004; 68: 1-6. [Crossref ]
7. Grillo HC, Donahue DM. Post intubation tracheal stenosis. Semin Thorac Cardiovasc Surg 1996; 8: 370-80. [Crossref ]
8. Wright CD, Graham BB, Grillo HC, Wain JC, Mathisen DJ. Pediatric tracheal surgery. Ann Thorac Surg 2002; 74: 308-13; discussion 314. [Crossref ]
9. Nandakumar R, Jagdish C, Prathibha CB, Shilpa C, Sreenivas V, Balasubramanya AM, Nayar RC. Tracheal resection with endto-end anastomosis for post-intubation cervical tracheal stenosis: study of 14 cases. J Laryngol Otol 2011; 125: 958-61. [Crossref ]
10. Gozen ED, Yener M, Erdur ZB, Karaman E. End-to-end anastomosis in the management of laryngotracheal defects. J Laryngol Otol 2017; 131: 447-54. [Crossref ]
11. Wynn R, Har-El G, Lim JW. Tracheal resection with end-toend anastomosis for benign tracheal stenosis. Ann Otol Rhinol Laryngol 2004; 113: 613-7. [Crossref ]
12. Hoetzenecker K, Schweiger T, Denk-Linnert DM, Klepetko W. Pediatric airway surgery. J Thorac Dis 2017; 9: 1663-71. [Crossref ]
13. Fiz I, Monnier P, Koelmel JC, Di Dio D, Torre M, Fiz F, et al. Implementation of the European Laryngological Society classification for pediatric benign laryngotracheal stenosis: a multicentric study. Eur Arch Otorhinolaryngol 2019; 276: 785-92. [Crossref ]
14. Wright CD, Grillo HC, Wain JC, Wong DR, Donahue DM, Gaissert HA, et al. Anastomotic complications after tracheal resection: prognostic factors and management. J Thorac Cardiovasc Surg 2004; 128: 731-9. [Crossref ]
15. El-Fattah AM, Kamal E, Amer HE, Fouda M, Elwahab AE, Tawfik A. Cervical tracheal resection with cricotracheal anastomosis: experience in adults with grade III-IV tracheal stenosis. J Laryngol Otol 2011; 125: 614-9. [Crossref ]
16. Negm H, Mosleh M, Fathy H. Circumferential tracheal resection with primary anastomosis for post-intubation tracheal stenosis: study of 24 cases. Eur Arch Otorhinolaryngol 2013; 270: 2709-17. [Crossref ]
17. Bibas BJ, Terra RM, Oliveira Junior AL, Tamagno MFL, Minamoto H, Cardoso PFG, et al. Predictors for postoperative complications after tracheal resection. Ann Thorac Surg 2014; 98: 277-82. [Crossref ]
18. Lanuti M, Mathisen DJ. Management of complications of tracheal surgery. Chest Surg Clin N Am 2003; 13: 385-97. [Crossref ]
19. Laccourreye O, Naudo P, Brasnu D, Jouffre V, Cauchois R, Laccourreye H. Tracheal resection with end-to-end anastomosis for isolated postintubation cervical trachea stenosis: long-term results. Ann Otol Rhinol Laryngol 1996; 105: 944-8. [Crossref ]
20. Piazza C, Del Bon F, Paderno A, Grazioli P, Mangili S, Lombardi D, et al. Complications after tracheal and cricotracheal resection and anastomosis for inflammatory and neoplastic stenoses. Ann Otol Rhinol Laryngol 2014; 123: 798-804. [Crossref ]
21. Fiz I, Monnier P, Koelmel JC, Di Dio D, Fiz F, Missale F, et al. Multicentric study applying the European laryngological society classification of benign laryngotracheal stenosis in adults treated by tracheal or cricotracheal resection and anastomosis. Laryngoscope 2020; 130: 1640-5. [Crossref ]
22. Peskind SP, Stanley RB Jr, Thangathurai D. Treatment of the compromised trachea with sleeve resection and primary repair. Laryngoscope 1993; 103: 203-11.
23. Jaquiss RD. Management of pediatric tracheal stenosis and tracheomalacia. Semin Thorac Cardiovasc Surg 2004; 16: 220-4. [Crossref ]
24. Rossi ME, Moreddu E, Macé L, Triglia JM, Nicollas R. Surgical management of children presenting with surgical-needed tracheal stenosis. Int J Pediatr Otorhinolaryngol 2018; 108: 219-23. [Crossref ]
25. Donahue DM, Grillo HC, Wain JC, Wright CD, Mathisen DJ. Reoperative tracheal resection and reconstruction for unsuccessful repair of postintubation stenosis. J Thorac Cardiovasc Surg 1997; 114: 934-8; discussion 938-9. [Crossref ]

APA	Aslıer M, Yıldırım M, Coskun H (2022). Treatment Results and Postoperative Complications of Single-Stage Tracheal Resection in Adolescent Patients with Post-Intubation Tracheal Stenosis, Compared to Adults. , 1 - 8. 10.4274/tao.2022.2022-2-8
Chicago	Aslıer Mustafa,Yıldırım Muhammed Furkan,Coskun H Hakan Treatment Results and Postoperative Complications of Single-Stage Tracheal Resection in Adolescent Patients with Post-Intubation Tracheal Stenosis, Compared to Adults. (2022): 1 - 8. 10.4274/tao.2022.2022-2-8
MLA	Aslıer Mustafa,Yıldırım Muhammed Furkan,Coskun H Hakan Treatment Results and Postoperative Complications of Single-Stage Tracheal Resection in Adolescent Patients with Post-Intubation Tracheal Stenosis, Compared to Adults. , 2022, ss.1 - 8. 10.4274/tao.2022.2022-2-8
AMA	Aslıer M,Yıldırım M,Coskun H Treatment Results and Postoperative Complications of Single-Stage Tracheal Resection in Adolescent Patients with Post-Intubation Tracheal Stenosis, Compared to Adults. . 2022; 1 - 8. 10.4274/tao.2022.2022-2-8
Vancouver	Aslıer M,Yıldırım M,Coskun H Treatment Results and Postoperative Complications of Single-Stage Tracheal Resection in Adolescent Patients with Post-Intubation Tracheal Stenosis, Compared to Adults. . 2022; 1 - 8. 10.4274/tao.2022.2022-2-8
IEEE	Aslıer M,Yıldırım M,Coskun H "Treatment Results and Postoperative Complications of Single-Stage Tracheal Resection in Adolescent Patients with Post-Intubation Tracheal Stenosis, Compared to Adults." , ss.1 - 8, 2022. 10.4274/tao.2022.2022-2-8
ISNAD	Aslıer, Mustafa vd. "Treatment Results and Postoperative Complications of Single-Stage Tracheal Resection in Adolescent Patients with Post-Intubation Tracheal Stenosis, Compared to Adults". (2022), 1-8. https://doi.org/10.4274/tao.2022.2022-2-8

APA	Aslıer M, Yıldırım M, Coskun H (2022). Treatment Results and Postoperative Complications of Single-Stage Tracheal Resection in Adolescent Patients with Post-Intubation Tracheal Stenosis, Compared to Adults. Turkish archives of otorhinolaryngology , 60(1), 1 - 8. 10.4274/tao.2022.2022-2-8
Chicago	Aslıer Mustafa,Yıldırım Muhammed Furkan,Coskun H Hakan Treatment Results and Postoperative Complications of Single-Stage Tracheal Resection in Adolescent Patients with Post-Intubation Tracheal Stenosis, Compared to Adults. Turkish archives of otorhinolaryngology 60, no.1 (2022): 1 - 8. 10.4274/tao.2022.2022-2-8
MLA	Aslıer Mustafa,Yıldırım Muhammed Furkan,Coskun H Hakan Treatment Results and Postoperative Complications of Single-Stage Tracheal Resection in Adolescent Patients with Post-Intubation Tracheal Stenosis, Compared to Adults. Turkish archives of otorhinolaryngology , vol.60, no.1, 2022, ss.1 - 8. 10.4274/tao.2022.2022-2-8
AMA	Aslıer M,Yıldırım M,Coskun H Treatment Results and Postoperative Complications of Single-Stage Tracheal Resection in Adolescent Patients with Post-Intubation Tracheal Stenosis, Compared to Adults. Turkish archives of otorhinolaryngology . 2022; 60(1): 1 - 8. 10.4274/tao.2022.2022-2-8
Vancouver	Aslıer M,Yıldırım M,Coskun H Treatment Results and Postoperative Complications of Single-Stage Tracheal Resection in Adolescent Patients with Post-Intubation Tracheal Stenosis, Compared to Adults. Turkish archives of otorhinolaryngology . 2022; 60(1): 1 - 8. 10.4274/tao.2022.2022-2-8
IEEE	Aslıer M,Yıldırım M,Coskun H "Treatment Results and Postoperative Complications of Single-Stage Tracheal Resection in Adolescent Patients with Post-Intubation Tracheal Stenosis, Compared to Adults." Turkish archives of otorhinolaryngology , 60, ss.1 - 8, 2022. 10.4274/tao.2022.2022-2-8
ISNAD	Aslıer, Mustafa vd. "Treatment Results and Postoperative Complications of Single-Stage Tracheal Resection in Adolescent Patients with Post-Intubation Tracheal Stenosis, Compared to Adults". Turkish archives of otorhinolaryngology 60/1 (2022), 1-8. https://doi.org/10.4274/tao.2022.2022-2-8