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
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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