[26 cases of tracheal stenosis after prolonged intubation or tracheotomy. Personal retrospective study]

A retrospective study over a period of 10 years, involving different hospital departments, revealed a total of 26 patients with post-intubation and/or post-prolonged tracheotomy stenosis which required surgical treatment. Predisposing factors included poor general condition, infection, iatrogenic factors related to intensive therapy (respiration, inadequate nursing) and the duration. Stenosis were situated from the sub-glottis to the carina. After surgical treatment, there were ten cases of restenosis, two multiple, and one inflammatory granuloma. Intubation may be life-saving, but must be performed by an individual competent in the procedure, under strictly aseptic conditions, and using non-traumatic disposable material. The patient should undergo thorough ENT examination at the time of extubation, repeated one month and six months later.