Korean Journal of Bronchoesophagology (대한기관식도과학회지)

The Korean Bronchoesophagological Society (대한기관식도과학회)
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Resection of Cervical Trachea and Ene-to-end Anastomosis : A Review of 11 Cases

경부기관절제 및 단단문합술 11례에 대한 분석

  • 김광문 (연세대학교 의과대학 이비인후과학교실, 음성언어의학연구소) ;
  • 조정일 (연세대학교 의과대학 이비인후과학교실, 음성언어의학연구소) ;
  • 김명상 (연세대학교 의과대학 이비인후과학교실, 음성언어의학연구소) ;
  • 홍원표 (연세대학교 의과대학 이비인후과학교실, 음성언어의학연구소) ;
  • 최홍식 (연세대학교 의과대학 이비인후과학교실, 음성언어의학연구소) ;
  • 최은창 (연세대학교 의과대학 이비인후과학교실, 음성언어의학연구소)
  • Published : 1995.11.01
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Abstract

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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