Single Stage Surgery for Cricotracheal Stenosis; The experience of Single Tertiary Center

Original Article

Single Stage Surgery for Cricotracheal Stenosis

  • Oğuz KUŞÇU Hacettepe University Department of Otorinolaryngology, Head and Neck Surgery
  • Furkan ÖZER, MD Hacettepe University Department of Otorinolaryngology, Head and Neck Surgery
  • Rıza Önder GÜNAYDIN Hacettepe University Department of Otorhinolaryngoloy, Head and Neck Surgery
  • Mehmet Umut AKYOL, Prof. Hacettepe University Department of Otorhinolaryngoloy, Head and Neck Surgery
  • Taner YILMAZ, Prof. Hacettepe University Department of Otorinolaryngology, Head and Neck Surgery

Abstract

Summary: Objectives. Cricotracheal stenosis has become recognised as a pathological condition and remains a challenging problem for otorhinolaryngology. The aim of this work is to stress importance of single stage surgery for cricotracheal stenosis.

Study Design. Retrospective case series of a tertiary referral center.

Methods: The patients with cricotracheal stenosis who were treated with  single stage surgery with cricotracheal or tracheal resection between 2009 and 2015 at Hacettepe University Hospitals Department of Otorhinolaryngology Head and Neck Surgery were evaluated retrospectively. Postoperative restenosis rate and additional intervention requirement for decannulation were compared with stenosis grade and comorbidity.

Results: This study included 24 males and 8 females aged between 18 and 76 years with a mean age of 38.8 years. Twenty seven  (84.3 %) patients had a pre-existing tracheostomy at the time of surgery while in five (16.6%) patients surgery was performed without a preoperative tracheostomy. One patient had grade 2  (3.1%) , 25 Patients had grade 3 (78.1% )  and 6 patients had grade 4 (18.8%) stenosis according to Cotton-Myer grading system. All patients underwent single stage surgery and followed at ICU as an intubated. Overall decannulation rate was 93.7%.

Conclusions: Cricotracheal reconstruction techniques pose many challenging obstacle. Single stage surgery introduce best treatment option and is especially required multidisciplinary approach which is essential to manage the cricotracheal stenosis with high decannulation rates.

 

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Published
Oct 3, 2017
How to Cite
KUŞÇU, Oğuz et al. Single Stage Surgery for Cricotracheal Stenosis; The experience of Single Tertiary Center. Acta Medica, [S.l.], v. 48, n. 3, p. 22-25, oct. 2017. ISSN 2147-9488. Available at: <https://actamedica.org/index.php/actamedica/article/view/82>. Date accessed: 14 dec. 2017.
Section
Original Article