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Tracheal stenosis and reconstructive surgery: Our experience on anesthesia and airway management

Year 2017, Volume: 27 Issue: 6, 280 - 284, 20.12.2017

Abstract

Tracheal stenosis is an important clinical problem. Several treatment modalities are being used such as tracheal dilatation, laser surgery, surgical resection, and reconstruction. Surgery of the trachea is a special endeavor where the airway is shared by the surgeon and the anesthesiologist. In this article, we discussed the various methods of anesthesia and airway management in three cases who developed tracheal stenosis secondary to prolonged intubation in intensive care and were performed tracheal dilation, laser surgery, resection, and end-to-end anastomosis.

References

  • Pearson FG, Goldberg M, da Silva AJ. Tracheal stenosis complicating tracheostomy with cuffed tubes. Clinical experience and observations from a prospective study. Arch Surg 1968;97:380-94.
  • Grillo HC. Surgical treatment of postintubation tracheal injuries. J Thorac Cardiovasc Surg 1979;78:860-75.
  • Couraud L, Jougon JB, Velly JF. Surgical treatment of nontumoral stenoses of the upper airway. Ann Thorac Surg 1995;60:250-9.
  • Grillo HC, Donahue DM, Mathisen DJ, Wain JC, Wright CD. Postintubation tracheal stenosis. Treatment and results. J Thorac Cardiovasc Surg 1995;109:486-92.
  • Wiedemann K, Männle C. Anesthesia and gas exchange in tracheal surgery. Thorac Surg Clin 2014;24:13-25.
  • Hobai IA, Chhangani SV, Alfille PH. Anesthesia for tracheal resection and reconstruction. Anesthesiol Clin 2012;30:709-30.
  • Pinsonneault C, Fortier J, Donati F. Tracheal resection and reconstruction. Can J Anaesth 1999;46:439-55.
  • Fritzsche K, Osmers A. Anesthetic management in laryngotracheal surgery. High-frequency jet ventila- tion as strategy for ventilation during general anesthe- sia. HNO 2011;59:931-41. [Abstract]
  • Biro P. Jet ventilation for surgical interventions in the upper airway. Anesthesiol Clin. 2010;28:397-409.
  • Buczkowski PW, Fombon FN, Lin ES, Russell WC, Thompson JP. Air entrainment during high-frequency jet ventilation in a model of upper tracheal stenosis. Br J Anaesth 2007;99:891-7.
  • Sehgal S, Chance JC, Steliga MA. Thoracic anesthe- sia and cross field ventilation for tracheobronchial injuries: a challenge for anesthesiologists. Case Rep Anesthesiol 2014;2014:972762.

Trakeal darlık ve rekonstrüktif cerrahi: Anestezi ve havayolu yönetimindeki deneyimimiz

Year 2017, Volume: 27 Issue: 6, 280 - 284, 20.12.2017

Abstract

Trakeal darlık önemli bir klinik sorundur. Trakeal dilatasyon, lazer cerrahisi, cerrahi rezeksiyon ve rekonstrüksiyon gibi çeşitli tedavi yöntemleri kullanılmaktadır. Trakea cerrahisi, hava yolunun cerrah ve anestezist tarafından paylaşıldığı, özel bir çabadır. Bu yazıda, yoğun bakımda uzamış entübasyona ikincil olarak trakeal darlık gelişen ve trakeal dilatasyon, lazer cerrahisi, rezeksiyon ve uç-uca anastomoz uygulanan üç olgudaki çeşitli anestezi yöntemleri ve havayolu yönetimi tartışıldı

References

  • Pearson FG, Goldberg M, da Silva AJ. Tracheal stenosis complicating tracheostomy with cuffed tubes. Clinical experience and observations from a prospective study. Arch Surg 1968;97:380-94.
  • Grillo HC. Surgical treatment of postintubation tracheal injuries. J Thorac Cardiovasc Surg 1979;78:860-75.
  • Couraud L, Jougon JB, Velly JF. Surgical treatment of nontumoral stenoses of the upper airway. Ann Thorac Surg 1995;60:250-9.
  • Grillo HC, Donahue DM, Mathisen DJ, Wain JC, Wright CD. Postintubation tracheal stenosis. Treatment and results. J Thorac Cardiovasc Surg 1995;109:486-92.
  • Wiedemann K, Männle C. Anesthesia and gas exchange in tracheal surgery. Thorac Surg Clin 2014;24:13-25.
  • Hobai IA, Chhangani SV, Alfille PH. Anesthesia for tracheal resection and reconstruction. Anesthesiol Clin 2012;30:709-30.
  • Pinsonneault C, Fortier J, Donati F. Tracheal resection and reconstruction. Can J Anaesth 1999;46:439-55.
  • Fritzsche K, Osmers A. Anesthetic management in laryngotracheal surgery. High-frequency jet ventila- tion as strategy for ventilation during general anesthe- sia. HNO 2011;59:931-41. [Abstract]
  • Biro P. Jet ventilation for surgical interventions in the upper airway. Anesthesiol Clin. 2010;28:397-409.
  • Buczkowski PW, Fombon FN, Lin ES, Russell WC, Thompson JP. Air entrainment during high-frequency jet ventilation in a model of upper tracheal stenosis. Br J Anaesth 2007;99:891-7.
  • Sehgal S, Chance JC, Steliga MA. Thoracic anesthe- sia and cross field ventilation for tracheobronchial injuries: a challenge for anesthesiologists. Case Rep Anesthesiol 2014;2014:972762.
There are 11 citations in total.

Details

Primary Language English
Journal Section Case Report
Authors

Demet Altun This is me

Nükhet Sivrikoz This is me

Achmet Ali This is me

Bora Başaran This is me

Bayram Şahin This is me

Emre Çamcı This is me

Publication Date December 20, 2017
Published in Issue Year 2017 Volume: 27 Issue: 6

Cite

APA Altun, D., Sivrikoz, N., Ali, A., Başaran, B., et al. (2017). Tracheal stenosis and reconstructive surgery: Our experience on anesthesia and airway management. The Turkish Journal of Ear Nose and Throat, 27(6), 280-284.
AMA Altun D, Sivrikoz N, Ali A, Başaran B, Şahin B, Çamcı E. Tracheal stenosis and reconstructive surgery: Our experience on anesthesia and airway management. Tr-ENT. December 2017;27(6):280-284.
Chicago Altun, Demet, Nükhet Sivrikoz, Achmet Ali, Bora Başaran, Bayram Şahin, and Emre Çamcı. “Tracheal Stenosis and Reconstructive Surgery: Our Experience on Anesthesia and Airway Management”. The Turkish Journal of Ear Nose and Throat 27, no. 6 (December 2017): 280-84.
EndNote Altun D, Sivrikoz N, Ali A, Başaran B, Şahin B, Çamcı E (December 1, 2017) Tracheal stenosis and reconstructive surgery: Our experience on anesthesia and airway management. The Turkish Journal of Ear Nose and Throat 27 6 280–284.
IEEE D. Altun, N. Sivrikoz, A. Ali, B. Başaran, B. Şahin, and E. Çamcı, “Tracheal stenosis and reconstructive surgery: Our experience on anesthesia and airway management”, Tr-ENT, vol. 27, no. 6, pp. 280–284, 2017.
ISNAD Altun, Demet et al. “Tracheal Stenosis and Reconstructive Surgery: Our Experience on Anesthesia and Airway Management”. The Turkish Journal of Ear Nose and Throat 27/6 (December 2017), 280-284.
JAMA Altun D, Sivrikoz N, Ali A, Başaran B, Şahin B, Çamcı E. Tracheal stenosis and reconstructive surgery: Our experience on anesthesia and airway management. Tr-ENT. 2017;27:280–284.
MLA Altun, Demet et al. “Tracheal Stenosis and Reconstructive Surgery: Our Experience on Anesthesia and Airway Management”. The Turkish Journal of Ear Nose and Throat, vol. 27, no. 6, 2017, pp. 280-4.
Vancouver Altun D, Sivrikoz N, Ali A, Başaran B, Şahin B, Çamcı E. Tracheal stenosis and reconstructive surgery: Our experience on anesthesia and airway management. Tr-ENT. 2017;27(6):280-4.