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Tracheal Stenosis and its Management - A Single Institution 10 Years Experience
Aman Bansal1, Aditi Sharma1, Ashwin Ashok Jaiswal1
1Department of ENT & Head Neck Surgery, J.L.N.Hospital & Research Centre, Bhilai, (C.G) India.
Tracheal stenosis after intubation or tracheostomy requires individualized management. Both endoscopic and surgical approaches offer viable treatment options for airway reconstruction, with success rates varying by method.
Area of Science:
- Medicine
- Otolaryngology
- Pulmonology
Background:
- Tracheal stenosis is a serious complication following airway interventions like intubation and tracheostomy.
- It can lead to significant morbidity and impact patient quality of life.
Purpose of the Study:
- To analyze patient characteristics, diagnostic methods, management strategies, and outcomes of tracheal stenosis.
- To evaluate treatment success in patients undergoing interventions for post-intubation or post-tracheostomy tracheal stenosis.
Main Methods:
- Retrospective observational study of 18 patients diagnosed with tracheal stenosis between 2015 and 2024.
- Data included demographics, stenosis type/site, diagnostics (endoscopy/imaging), and treatments (endoscopic/surgical).
Main Results:
- Middle-aged males predominated, presenting within 20 days post-procedure.
- Post-intubation stenosis included webs and granulation; post-tracheostomy stenosis involved stoma granulation, cartilage fractures, and webs.
- Endoscopic management (44.4%) and surgical interventions (55.5%) were employed, with decannulation success rates of 71.4% and 66.6%, respectively.
Conclusions:
- Individualized management based on stenosis characteristics is crucial for optimal outcomes.
- Both endoscopic and surgical treatments can be effective for tracheal stenosis, necessitating careful patient selection and treatment planning.
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