Buradasınız

Trakeal Patolojilerde Cerrahi

Surgery for Tracheal Pathologies

Journal Name:

Publication Year:

Keywords (Original Language):

Abstract (2. Language): 
Upper airway stenosis is usually associated with a complex of pathological conditions at the high tracheal and the subglottic levels. Inflammatory stenosis of the trachea remains the most common indication for tracheal resection and reconstruction. Primary tumors of the trachea are best treated by resection when primary reconstruction may be safely accomplished. Nine cases with ages between 24-50 were treated with surgery for benign and malign tracheal stenosis. Tracheal resection and end-to-end anastomosis were successfully performed to 5 cases with a diagnosis of postintubation stenosis via cervical approach and 4 cases with tracheal tumors via thoracotomy. Accurate preoperative assessment and preparation associated with a perfect surgical technique is mandatory to obtain good results for tracheal surgery.
Abstract (Original Language): 
Üst hava yolu stenozu sıklıkla üst trakeal ve subglottik seviyelerdeki patolojiler ile ilişkilidir. Enflamatuvar stenoz, trakeal rezeksiyon ve rekonstrüksiyonların en sık endikas-yonudur. Primer trakea tümörlerinin de primer rekons-trüksiyona uygun ise en ideal tedavisi rezeksiyon olmak¬tadır. Benign ve malign sebeplerle trakea cerrahisi uygu¬ladığımız yaşları 24-50 arasında değişen 9 olgudan, pos-tentübasyon trakeal stenoz tanısı olan 5'ine servikal insiz-yon ile, trakeal tümör tanılı 4 hastaya ise torakotomi yolu ile trakeal rezeksiyon ve uç-uca anastomoz başarılı şekil¬de uygulandı. Dikkatli preoperatif değerlendirmeyi takiben uygulana-cak başarılı cerrahi teknik trakeal patolojilerin cerrahisinde tatmin edici sonuçları da beraberinde getirmektedir.
32
34

REFERENCES

References: 

1) Wolf M, Shapira Y, Talmi YP, Novikov I, Kronenberg J, Yellin A.: Laryngotracheal anastomosis: primary and revised procedures. Laryngoscope 2001;111: 622-627.
2) Gaissert HA. Primary Tracheal Tumors. Chest Surg Clin
N Am 2003;13:247-256.
3) Loutsidis A, Zisis C, Lariou K, Bellenis I.: Surgical management of idiopathic subglottic tracheal stenosis. Eur J Cardiothorac Surg 2000;17:488-491.
4) Grillo HC, Donahue DM, Mathisen DJ, Wain JC, Wright CD.: Postintubation tracheal stenosis. Treatment and results. J Thorac Cardiovasc Surg 1995;109:486-493.
5) Harries PG, Mason PS, Ramsay AD, Carruth JAS.: Idiopathic tracheal stenosis. J Laryngol Otol 1996; 110: 973-975.
6) Grillo HC.: Tracheal Replacement: A Critical Review.
Ann Thorac Surg 2002;73:1995-2004.
7) Cantrell JR, Folse JR.: The repair of circumferential defects of the trachea by direct anastomosis: experimental evaluation. J Thorac Cardiovasc Surg
1961;42:589-598.
8) Grillo HC, Dignan EF, Miura T.: Extensive resection and reconstruction of mediastinal trachea without prosthesis or graft: an anatomical study in man. J Thorac Cardiovasc Surg 1964;48:741-749.
9) Grillo HC, Donahue DM.: Postintubation tracheal stenosis. Chest Surg Clin N Am 1996;6:725-731.
10) Quint LE, Whyte RI, Kazerooni EA, Martinez FJ, Cascade PN.: Stenosis of the central airways: evaluation by using helical CT with multiplanar recontructions. Radiology 1995;194:871-877.
11) Shapsay SM, Beamis Jr. JF, Hybels RL, Bohigian RK.: Endoscopic treatment of subglottic and tracheal stenosis by radial laser incision and dilatation. Ann Otol Rhinol Laryngol 1987;96:661-664.
12) Gaissert HA, Grillo HC, Mathisen DJ, Wain JC.:
Temporary and permanent restoration of airway continuity with the tracheal T-tube. J Thorac Cardiovasc Surg 1994;107:600-606.
13) Sharpe DAC, Dixon K, Moghissi K.: Endoscopic laser treatment for tracheal obstruction. Eur J Cardiothorac
Surg 1996;10:722-726.
14) Couraud L, Jougon JB, Velly JF.: Surgical treatment of nontumoral stenosis of the upper airway. Ann Thoracic
Surg 1995;60:250-260.
15) Rea F, Callegaro D, Loy M, Zuin A, Narne S, Gobbi T, et al.: Benign tracheal and laryngotracheal stenosis: surgical treatment and results. Eur J Cardiothorac Surg
2002;22:352-556

Thank you for copying data from http://www.arastirmax.com