Aetiopathogenesis of Laryngotracheal Stenosis: A Retrospective Review

Autor:	Dharma K. Baskota, Yogesh Neupane, Rabindra Bhakta Pradhananga, Bigyan Raj Gyawali, Kunjan Acharya, Heempali Dutta, Rajendra Prasad Guragain
Rok vydání:	2020
Předmět:	medicine.medical_specialty RD1-811 Article Subject business.industry medicine.medical_treatment Retrospective cohort study medicine.disease Surgery 03 medical and health sciences Stenosis 0302 clinical medicine Otorhinolaryngology RF1-547 030220 oncology & carcinogenesis Etiology Medicine Intubation 030223 otorhinolaryngology Airway Subglottis business Prospective cohort study Laryngotracheal stenosis
Zdroj:	International Journal of Otolaryngology, Vol 2020 (2020)
ISSN:	1687-921X 1687-9201
Popis:	Background. Airway stenosis is a technically challenging pathology to deal with. Various aetiologies can lead to the stenosis; however, trauma, mostly related to intubation, is the commonest so far. This study retrospectively evaluates various aetiological factors resulting in airway stenosis and the associated patient-related factors. Objectives. The objectives of this study were to evaluate the common patient-related factors, aetiology, site, and mode of presentation of airway stenosis and to evaluate the duration of intubation resulting in airway stenosis. Materials and methods. This was a retrospective study carried out at the Department of ENT-HNS, Institute of Medicine, Nepal. Record files from January 2014 to January 2019 of all cases with endoscopic diagnosis of airway stenosis were evaluated. Demographic data, site, severity, aetiology, time, and mode of presentation were noted. The severity of stenosis was graded based on Cotton–Meyer (CM) classification. Results. A total of 33 cases were included in the study. The trachea and the subglottis were the frequent sites to be involved. Intubation-related trauma was the commonest aetiology with a shortest duration of intubation of only 4 days resulting in development of the stenosis. The other aetiologies were congenital, trauma, inflammation, and idiopathic. Conclusion. Trauma, mostly related to intubation, is still the commonest cause for the development of airway stenosis. Along with the duration of intubation, there are several other factors that can affect the development of stenosis. A prospective study with a large population is required to draw a definite conclusion.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c1780bdc278109e294b7675f15d1eceb https://doi.org/10.1155/2020/1941046 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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