ENDOSCOPIC TREATMENT OF CICATRICAL TRACHEAL STENOSES
https://doi.org/10.24884/0042-4625-2019-178-5-10-15
Abstract
The OBJECTIVE was to evaluate the results of endoscopic treatment of cicatrical tracheal stenoses.
MATERIAL AND METHODS. During the period from 1995 to 2018, 145 patients with cicatrical tracheal stenoses (men – 102, women – 43) aged 15 to 83 years were treated in the clinic. Stenosis was post tracheostomy in 96 patients, postintubation in 39 patients, after circular tracheal resection in 6 patients, after tracheolaryngoplasty in 3 patients, after radiation therapy for primary tracheal cancer in 1 patient. Endoscopic treatment was performed in 136 patients.
RESULTS. In the tracheal dilation, only 42 (30,88 %) patients managed to achieve stabilization of the lumen of the trachea. Stenting of the narrowed part of the trachea with stent type Dumon was in 62 (45,58 %) patients due to restenosis. Formation of the lumen sufficient for breathing was possible in 40 (70,2 %) patients. All the complications that occurred during the stent in the trachea were diagnosed and eliminated.
CONCLUSION. Endoscopic methods of treatment of patients with cicatrical tracheal stenoses were highly effective allowing to restore and maintain airway patency, both temporarily (for the purpose of preoperative preparation) and constantly.
The authors declare no conflict of interest.
The authors confirm that they respect the rights of the people participated in the study, including obtaining informed consent when it is necessary, and the rules of treatment of animals when they are used in the study. Author Guidelines contains the detailed information.
About the Authors
E. A. Drobyazgin
Novosibirsk State Medical University
Russian Federation
Russian Federation
Еvgeniy А. Drobyazgin
Department of hospital and childs surgery
SPIN РИНЦ 4665-2278
AuthorID: 540356
Yu. V. Chikinev
Novosibirsk State Medical University
Russian Federation
Russian Federation
Yuriy V. Chikinev
Department of hospital and childs surgery
SPIN-код: 9782-1047, AuthorID: 474165
M. S. Anikina
Novosibirsk State Medical University
Russian Federation
Russian Federation
Мariya S. Anikina
Department of hospital and childs surgery
I. E. Sudovikh
Novosibirsk State Medical University
Russian Federation
Russian Federation
Irina E. Sudovykh
Department of hospital and childs surgery
SPIN-код: 7460-8908
AuthorID: 540355
References
1. Karpov O. E., Ablitsov Yu. A., Osipov A. S., Ablitsov A. Yu., Vasilashko V. I. Endoskopicheskie tekhnologii v lechenii bol’nykh s rubtsovymi stenozami trakhei. Vestnik national’nogo medico-khirurgicheskogo tsentra im. N. I. Pirogova. 2016;11(3):55–62. (In Russ.).
2. Parshin V. D., Byzhigina M. A., Rusakov M. A., Parshin V. V., Titov V. A., Starostin A. V. Postreanimatsionnyy rubtsovii stenoz trakhei. Sovremennoe sostoyanie problemy – uspekhi, nadezhdy I razocharovaniya. Anesteziologiya I reanimatologiya. 2016;61(5):360–366. (In Russ.).
3. Elsayed H., Mostafa A. M., Soliman S., Shoukry T., El-Nori A. A., El-Bawab H. Y. First-line tracheal resection and primary anastomosis for postintubation tracheal stenosis. Ann. R. Coll. Surg. Engl. 2016;98(6):425–430.
4. Auchincloss H. G., Mathisen D. J. Tracheal stenosis-resection and re¬construction. Ann. Cardiothorac. Surg. 2018;7(2):306–308.
5. Yasnogorodskiy O. O, Shulutko A. M., Pinchuk T. P., Taldykin M. V., Kachikin A. S., Katanae Yu. A., Moiseev A. Y., Gur’yanova Yu. V., Nasirov F. N. Lechenie trakheal’nykh I laringotrakheal’nykh rubtsovykh stenozov i restenozov. Khirurgia: Zhurnal im. N. I. Pirogova. 2016;(12):31–36. (In Russ.).
6. Stoelben E., Koryllos A., Beckers F., Ludwig C. Benign stenosis of the trachea. Thorac. Surg. Clin. 2014;24(1):59–65.
7. Shin B., Kim K., Jeong B. H., Eom J. S., Song W. J., Kang H. K., Kim H. Clinical significance of differentiating post-intubation and post-tracheostomy tracheal stenosis. Respirology. 2017;22(3):513–520.
8. Yaitsky N. A., Gerasin V. A., Gerasin A. V., Rusanov A. A. The role of endoscopic methods in treatment of tracheal cicatrical stenosis. Vestnik khirurgii im. I. I. Grekova. 2012;171(3):11–15. (In Russ.).
9. Osipov A. S. Rubtsovii stenoz trakhei: endoskopicheskaya diagnostika i lechenie. Vestnik national’nogo medico-khirurgicheskogo tsentra im. N. I. Pirogova. 2014;9(2):92–98. (In Russ.).
10. Munyatyan I. N., Porkhanov V. A., Bondareva I. E., Rassovskiy A. I. Endoprotezirovanie trakhei pri endoskopicheskom lechenii rubtsovykh stenozov. Innovatsionnaya meditsina Kubani. 2017;8(4):42–45. (In Russ.).
11. Freitag L., Darwiche K. Endoscopic treatment of tracheal stenosis. Thorac. Surg. Clin. 2014;24(1):27–40.
12. Barros Casas D., Fernández-Bussy S., Folch E., Flandes Aldeyturriaga J., Majid A. Non-malignant central airway obstruction. Arch. Bronconeumol. 2014;50(8):345–354.
13. Karapantzos I., Karapantzou C., Zarogoulidis P., Tsakiridis K., Charalampidis C. Benign tracheal stenosis a case report and up to date management. Ann. Transl. Med. 2016;22(4):451.
14. Folch E., Keyes C. Airway stents. Ann. Cardiothorac. Surg. 2018;7(2): 273–283.
15. Stehlik L., Hytych V., Letackova J., Kubena P., Vasakova M. Biodegradable polydioxanone stents in the treatment of adult patients with tracheal narrowing. BMC Pulm. Med. 2015;21(15):164.
16. Dahlqvist C., Ocak S., Gourdin M., Dincq A. S., Putz L., d’Odémont J. P. Fully Covered Metallic Stents for the Treatment of Benign Airway Stenosis. Can. Respir. J. 2016;2016:8085216.
17. Varela G., Jiménez M. F. Benign tracheal stenosis should never be stented with metallic devices. Arch. Bronconeumol. 2016;52(3): 121–122.
18. Fortin M., Lacasse Y., Elharrar X., Tazi-Mezalek R., Laroumagne S., Guinde J., Astoul P., Dutau H. Safety and Efficacy of a Fully Covered Self-Expandable Metallic Stent in Benign Airway Stenosis. Respiration. 2017;93(6):430–435.
Review
For citations:
Drobyazgin E.A., Chikinev Yu.V., Anikina M.S., Sudovikh I.E. ENDOSCOPIC TREATMENT OF CICATRICAL TRACHEAL STENOSES. Grekov's Bulletin of Surgery. 2019;178(5):10-15. (In Russ.) https://doi.org/10.24884/0042-4625-2019-178-5-10-15
Views:
829
Email this article 