Journal of Shandong University (Health Sciences) ›› 2020, Vol. 1 ›› Issue (7): 72-76.doi: 10.6040/j.issn.1671-7554.0.2020.0125

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Single-stage end-to-end anastomosis in the management of severe cervical tracheal stenosis

GUO Zhihua1, ZHAO Daqing1, XING Yuan2, WANG Wei1, LIANG Leping1, YANG Jing1, ZHAO Qianqian1   

  1. 1. Department of Otorhinolaryngology, Head and Neck Surgery, Xian Tangdu Hospital, Air Force Medical University, Xian 710038, Shaanxi, China;
    2. Department of Otorhinolaryngology Head and Neck Surgery, Xian Honghui Hospital, Xian Jiaotong University, Xian 710054, Shaanxi, China
  • Online:2020-07-20 Published:2020-07-10

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Abstract: Objective To evaluate the efficacy, indications and risk factors of single-stage end-to-end anastomosis in the treatment of severe cervical tracheal stenosis. Methods A retrospective analysis was performed on 29 patients with severe cervical tracheal stenosis treated with single-stage partial tracheal or cricotracheal resection with primary end-to-end anastomosis during Mar. 2015 and Nov. 2019, including 19 male and 10 female, age ranged from 17 to 51(mean 31)years. Tracheotracheal end-to-end anastomosis was performed in 18 cases, cricotracheal end-to-end anastomosis in 9 cases and thyrotracheal anastomosis in 2 cases. The degree of stenosis was classified according to Myer-Cotton classification as grade Ⅲ in 18 cases and grade Ⅳ in 11 cases. Results Length of stenosis was 1-4 cm(mean 2.5 cm). Successful decannulation was achieved in 25 cases(86%). Postoperative complications included subcutaneous emphysema in 1 case, restenosis in 4 cases, anastomosic dehiscence in 1 case, and temporary unilateralvocal fold palsy in 1 case. Conclusion Single-stage end-to-end anastomosis is safe and effective in the management of advanced cervical tracheal stenosis. Careful preoperative evaluation of indications and operators experiences play the most important roles in achieving a positive outcome.

Key words: Tracheal Stenosis, Surgery, Anastomosis, Complications, Reoperation

CLC Number: 

  • R653
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