Powered instrumentation in the treatment of tracheal granulation tissue for decannulation.

Autor: Fang TJ; Department of Otolaryngology, Chang Gung Memorial Hospital, Kweishan 333, Taoyuan, Taiwan. fang3109@cgmh.org.tw, Lee LI, Li HY
Jazyk: angličtina
Zdroj: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [Otolaryngol Head Neck Surg] 2005 Oct; Vol. 133 (4), pp. 520-4.
DOI: 10.1016/j.otohns.2005.05.652
Abstrakt: Objective: To evaluate the outcomes of powered instrumentation tracheal surgery (PITS) in patients with tracheal granulation tissue following tracheostomy that caused or exacerbated airway obstruction and impeded decannulation.
Study Design: Retrospective case review.
Methods: Sixteen patients that accepted PITS for decannulation from tracheal granulation tissue were reviewed. The surgical procedure was performed with the assistance telescope connected to a television monitoring system. The success of PITS was defined as a decannulation for 3 months without a recurrence of airway obstruction.
Results: The average operation time was 34 minutes. No complication was met in the perioperative period. Fourteen cases (87.5%) were successfully decannulated within 3 days following PITS. The 2 cases that failed successful decannulation had undergone insertion of a tracheal stent for their hindered tracheal stenosis.
Conclusions: The preliminary results reveal that the new operation modality, PITS, is a safe and simple method for the treatment of tracheal granulation tissue and could be a useful alternative for benign tracheal lesions.
Databáze: MEDLINE
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