Therapeutic Problems in Laryngo-Tracheal Stenoses
作者:
G. Lange,
K. Ziegler,
期刊:
ORL
(Karger Available online 1975)
卷期:
Volume 37,
issue 1
页码: 48-55
ISSN:0301-1569
年代: 1975
DOI:10.1159/000275204
出版商: S. Karger AG
关键词: Anamnestical data;The open treatment by creating a tracheal groove;Sleeve resection;Result verification
数据来源: Karger
摘要:
History revealed iatrogenic injury (tracheostomy, intubation, artificial respiration) to be the reason for tracheal stenosis in each of our 32 cases (18 female, 14 male). So far 23 cases have been treated successfully and they live without a cannula; seven are still under treatment, while two patients died (severe heart-attack, spontaneous pneumothorax) and one refused further treatment. We were relatively successful in six cases of sleeve resection. All other 26 cases were treated by creating a tracheal groove, in which tracheal mucosa and skin of the neck were joined and the caudal end mostly kept open by using a pedicle skin flap. Intrathoracic stenoses require a sternotomy. An additional thyroidectomy and lateral traction to the tracheal walls by using loops out of the sternomastoid muscle became necessary in many cases and we obligatorily used tamponades of plastic inlay bolts, the average time of treatment being 8 months.
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