Despite improvement in respiratory care, including widespread use of low pressure and
high volume cuffed tubes, tracheal stenosis remains a feared complication of prolonged
intubation and tracheostomy. In such patients, other coexisting problems such as vocal cord
paralysis, tracheoesophageal fistula, noncontiguous stenotic segments and laryngeal stenosis
may occasionly be encountered. Therefore tracheal stenosis still presents a significant
management problem, despite recent endoscopic advances and surgical techniques.
Between 1991 and 1994, authors preformed tracheal resection with end-to-end anastomosis on
11 patients with tracheal stenosis. The total success rate (asymptomatic patients with patent
airway) was 72.7% and there were no serious complication.
This report reviews our experience about this procedure and surgical results. And it
investigates associated factors for successful results.
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