Cricotracheal Resection in a Patient with Severe Subglottic Stenosis - Advantages of a Temporary Non-Cannulated Tracheostomy

Year 2017, Volume: 34 Issue: 2, 165 - 167, 01.03.2017

Todor Miroslavov Popov Tzvetomir Marinov Julian Rangachev Dimitar Konov Maya Belitova

https://izlik.org/JA79KH87HK

Abstract

Background: Stenosis in the area of the cricotracheal
segment is still a challenging problem to be dealt with.
Post-intubational cases mark an increase in recent years
due to the advances in intensive care, thoracic surgery
and neurosurgery departments.
Case Report: This paper describes a case report of
a patient with severe subglottic stenosis (grade III
according to the Cotton-Myer scale), introduces a
new option in cricotracheal resections - postoperative
temporary non-cannulated tracheostomy and describes
its advantages.
Conclusion: This variation of classical operative
techniques provides additional fixation of the trachea,
thus relieving any transitory tension on the anastomosis;
acts as a valve and decreases the air-pressure in the
upper airways during coughing and sneezing in the postoperative
period; and is an easy ac

Keywords

Cricotracheal resection , stenosis , trachea , larynx , tracheostomy

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