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KMID : 0602820070130020040
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Korean Journal of Bronchoesophagology
2007 Volume.13 No. 2 p.40 ~ p.44
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The Management Effect of Silicone Tracheal T-tube Insertion in Tracheal Stenosis after Tracheostomy
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Cho Sung-Hoon
Lee Yong-Man
Oh Cheon-Hwan
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Abstract
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Background and Objectives: Most of tracheal stenosis is resulted from longstanding endotracheal tube insertion. Treatments of tracheal stenosis are divided conservative and reconstructive treatment. The propose of this study was to evaluate the effect of prosthetic tracheal T-tube insertion on tracheal stenostic patients who can not be operated invasive surgery.
Subjects and Method: Nine prosthetic tracheal T-tube insertion were studied from 9 patients from January 2002 to April 2007. The effect of silastic T-tube was analyzed according to the factors that were respiratory difficulty, oxygen saturation, phonation, aspiration and significant complications.
Results: Four patients were good for respiration and no complication. But five patients occur various complications. A successful group did not have cartilagenous lesions but failed group had catilagenous lesions, infection and necrosis.
Conclusion: A silastic T-tube insertion was good for palliative treatment in patients without catilagenous lesions.
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KEYWORD
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trachealstenosis, siliconeT-tube
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