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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Tracheal stenosis after placement of percutaneous dilational tracheotomy.
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Tracheal stenosis after placement of percutaneous dilational tracheotomy.

机译：经皮扩张气管切开后气管狭窄。

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OBJECTIVES: Percutaneous dilational tracheotomy procedures have been used successfully as a bedside alternative to open surgical tracheotomy. At our institution, we have seen patients with tracheal injuries following this procedure. In this paper, we review those cases to demonstrate that tracheal stenosis is a potential long-term complication of percutaneous dilational tracheotomy. STUDY DESIGN: Case series. METHODS: Patients were evaluated with computed tomography and operative endoscopy. Inpatient and outpatient records were reviewed retrospectively. RESULTS: Nine patients were referred to our practice for management of tracheal stenosis after percutaneous dilational tracheotomy between 2003 and 2006. Presence of anterior tracheal ring compression and destruction or lateral wall collapse was noted in each case. Endoscopy revealed stenosis secondary to anterior tracheal wall injury in all cases. In eight of nine cases, operative intervention was needed to correct the stenotic segment. CONCLUSIONS: Ithas been demonstrated in the literature that with 20 years of experience, the percutaneous dilational tracheotomy procedure is more affordable, faster to perform, and a generally safe procedure when performed under appropriate conditions. Most case series of percutaneous dilational tracheotomy reveal an equal or lower risk of short-term complications than open tracheotomy. This series demonstrates that tracheal stenosis is a potential long-term complication. Longitudinal follow-up of patients undergoing percutaneous dilational tracheotomy is indicated.
机译：目的：经皮扩张气管切开术已成功用作开放式气管切开术的床头替代疗法。在我们的机构中​​，我们已经看到遵循此程序的气管损伤患者。在本文中，我们回顾了这些病例，以证明气管狭窄是经皮扩张气管切开术的潜在长期并发症。研究设计：案例系列。方法：对患者进行计算机断层扫描和手术内窥镜检查。回顾性回顾住院和门诊记录。结果：9例患者在2003年至2006年间经我们的行经皮扩张性气管切开术治疗气管狭窄。在每种情况下，均注意到存在前气管环压迫和破坏或侧壁塌陷。内窥镜检查显示在所有情况下继发于气管前壁损伤的狭窄。 9例中有8例需要手术干预以矫正狭窄段。结论：已有文献证明，凭借20年的经验，在适当的条件下进行经皮扩张气管切开术的费用更便宜，执行速度更快且通常安全。经皮扩张气管切开术的大多数病例系列显示与开放性气管切开术相比，短期并发症的风险相同或更低。该系列证明气管狭窄是一种潜在的长期并发症。需要进行经皮扩张气管切开术的患者的纵向随访。

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