Endoscopic and Surgical Treatment of Benign Tracheal Stenosis: A Multidisciplinary Team Approach
Autor: | Salih Bilen, Celalettin Ibrahim Kocaturk, Sinem Nedime Sökücü, Ali Cevat Kutluk, Cengiz Özdemir, Levent Dalar, Bugra Celal Sezen |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Male
bronchoscopy medicine.medical_treatment 030204 cardiovascular system & hematology Severity of Illness Index 0302 clinical medicine Tracheostomy Bronchoscopy Recurrence Cooperative Behavior Radiation treatment planning medicine.diagnostic_test Gastroenterology General Medicine Middle Aged Treatment Outcome Original Article Female Stents Cardiology and Cardiovascular Medicine Tracheal Stenosis Algorithms Pulmonary and Respiratory Medicine Adult medicine.medical_specialty Thoracic Surgical Procedure Adolescent Clinical Decision-Making Decision Support Techniques 03 medical and health sciences Young Adult Severity of illness medicine Intubation Intratracheal Humans post-intubation tracheal stenosis tracheal resection Aged Retrospective Studies Patient Care Team business.industry Stent Retrospective cohort study Thoracic Surgical Procedures medicine.disease Surgery Stenosis 030228 respiratory system Interdisciplinary Communication business |
Zdroj: | Annals of Thoracic and Cardiovascular Surgery |
ISSN: | 2186-1005 1341-1098 |
Popis: | Purpose: Surgical resection and reconstruction are considered the most appropriate approaches to treat post-intubation tracheal stenosis (PITS). Bronchoscopic methods can be utilized as palliative therapy in patients who are ineligible for surgical treatment or who develop post-surgical re-stenosis. We investigated treatment outcomes in patients with benign tracheal stenosis. Methods: A retrospective review was performed in patients who were diagnosed with PITS. Tracheal resection was performed for operable cases, whereas endoscopic interventions were preferred for inoperable cases with a complex or simple stenosis. Results: In total, 42 patients (23 treated by bronchoscopic methods, 19 treated by surgery) took part in this study. No significant differences were observed in segment length, the proportion of obstructed airways, or vocal cord distance between the two groups. In all, 15 patients in the bronchoscopic treatment group received a stent. Following the intervention, the cure rates in the bronchoscopic and surgical treatment groups were 43.47% and 94.7%, respectively. A multidisciplinary approach resulted in a cure or satisfactory outcome in 90.5% of the patients while failure was noted in 9.5% of the patients. Conclusion: Bronchoscopic methods are associated with a lower cure rate compared to surgery. A multidisciplinary approach was helpful for treatment planning in patients with PITS. |
Databáze: | OpenAIRE |
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