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KMID : 0364020090420010063
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Korean Journal of Thoracic and Cardiovascular Surgery
2009 Volume.42 No. 1 p.63 ~ p.71
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The Short Term and Intermediate Term Results of using a T-tube in Patients with Tracheal Stenosis
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Sa Young-Jo
Park Chan-Beom
Jin Ung
Kim Jae-Jun
Yim Hyeon-Woo
Park Jae-Kil
Kim Young-Du
Moon Seok-Whan
Kim Chi-Kyung
Jo Keon-Hyun
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Abstract
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Background: The treatment of tracheal stenosis includes less invasive bronchoscopic intervention and more invasive segmental resection & anastomosis. Depending on the patient’s clinical features, sometimes all these methods are inappropriate. Silicone T-tube stenting has recently been used as an alternative, safe management of tracheal stenosis. We studied the short term and Intermediate term results of using T-tubes in patients with tracheal stenosis, and this tracheal stenosis was caused by various underlying diseases.
Material and Method: We retrospectively reviewed 57 patients with tracheal stenosis and who were treated with T-tubes between Jan 1997 and Apr 2007. Based on the patient’s medical records and the imaging studies, we evaluated the clinical findings and status of T-tube removal.
Result: There was no T-tube related morbidity or mortality in this series. On follow-up, one patient underwent sleeve resection and end-to-end anastomosis. The T-tube could be successfully removed from 13 patients (13/57, 22.8%) without additional interventions. For another four patients, a T-tube was again inserted after removal of the first T-tube due to tracheomalacia or recurrent stenosis. Four patients died of underlying disease and cancer. The patients’ gender and previous tracheostomy significantly affected T-tube removal. By contrast, multiple logistic regression analysis identified gender as a predictor of successfully removing a T-tube. Gender (p=0.033) and previous tracheostomy (p=0.036) were the two factors for success or failure of T-tube removal.
Conclusion: M A T-tube provided reliable patency of a stenotic airway that was caused by any etiology. We have proven that using a T-tube is safe and effective therapy for patients with tracheal stenosis for the short term or the intermediate term. (Korean J Thorac Cardiovasc Surg 2009;42:63-71)
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KEYWORD
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Tracheal stenosis, Treacheostomy
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