Abstract：
BACKGROUND: Laryngotracheal stenosis encompasses a diverse range of diagnoses, encompassing complete or partial narrowing of various subgroups of the upper airways, including the laryngeal structures and trachea, due to pathological scar formation. This increasingly prevalent pathology is of significant importance due to its potential for life-threatening consequences. Among the defined treatment modalities, tracheal resection and end-to-side anastomosis remain a valuable therapeutic alternative in appropriate indications.
OBJECTIVE: The objective of this study was to retrospectively evaluate the outcomes of patients who underwent tracheal resection and end-to-end anastomosis at our clinic over the past decade.
METHODS: All patients who underwent tracheal resection and end-to-end anastomosis surgery for benign tracheal stenosis at the Department of Otolaryngology, Mustafa Kemal University Hospital between 2013 and 2023 were included in the study. The diagnosis of tracheal stenosis was based on endoscopic examination and computed tomography results. Interventions without postoperative symptoms and without the need for additional surgical intervention were considered successful. The study was approved by Hatay Mustafa Kemal University Ethics Committee with decision number 2023/27.
RESULTS: A total of 29 patients were included in the study. The mean age of the patients was 26.48 years. 3 patients (10.35 %) had a comorbidity. In all patients orotracheal intubation or intubation and tracheotomy was the aetiological cause. There were no intraoperative complications. In the postoperative period, wound infection was observed in 3 patients (10.35 %) and subcutaneous emphysema in 2 patients (6.9 %). In 1 patient (3.45 %) recurrent respiratory distress was observed, restenosis was considered and tracheotomy was performed. Our complication rate was 20.69 %. When all patients were evaluated at the end of the postoperative follow-up period, the surgical success rate was calculated to be 96.55 %.
CONCLUSIONS: With a surgical success rate of 96.55 % and a low complication rate in our study, we believe, in parallel with previous studies, that open surgery is a reliable, physiologically appropriate and successful method among the current treatments for tracheal stenosis.
OBJECTIVE: The objective of this study was to retrospectively evaluate the outcomes of patients who underwent tracheal resection and end-to-end anastomosis at our clinic over the past decade.
METHODS: All patients who underwent tracheal resection and end-to-end anastomosis surgery for benign tracheal stenosis at the Department of Otolaryngology, Mustafa Kemal University Hospital between 2013 and 2023 were included in the study. The diagnosis of tracheal stenosis was based on endoscopic examination and computed tomography results. Interventions without postoperative symptoms and without the need for additional surgical intervention were considered successful. The study was approved by Hatay Mustafa Kemal University Ethics Committee with decision number 2023/27.
RESULTS: A total of 29 patients were included in the study. The mean age of the patients was 26.48 years. 3 patients (10.35 %) had a comorbidity. In all patients orotracheal intubation or intubation and tracheotomy was the aetiological cause. There were no intraoperative complications. In the postoperative period, wound infection was observed in 3 patients (10.35 %) and subcutaneous emphysema in 2 patients (6.9 %). In 1 patient (3.45 %) recurrent respiratory distress was observed, restenosis was considered and tracheotomy was performed. Our complication rate was 20.69 %. When all patients were evaluated at the end of the postoperative follow-up period, the surgical success rate was calculated to be 96.55 %.
CONCLUSIONS: With a surgical success rate of 96.55 % and a low complication rate in our study, we believe, in parallel with previous studies, that open surgery is a reliable, physiologically appropriate and successful method among the current treatments for tracheal stenosis.
摘要：
背景：喉气管狭窄包括多种诊断，包括上呼吸道各种亚组的完全或部分变窄，包括喉部结构和气管,由于病理性瘢痕形成。这种日益普遍的病理学由于其潜在的危及生命的后果而具有重要意义。在定义的治疗方式中，在适当的适应症中，气管切除和端侧吻合仍然是一种有价值的治疗方法。
目的：本研究的目的是回顾性评估过去十年在我们的诊所接受气管切除和端对端吻合术的患者的预后。
方法：所有在耳鼻咽喉科接受气管切除和端到端吻合手术治疗良性气管狭窄的患者，2013年至2023年的穆斯塔法·凯末尔大学医院被纳入研究。气管狭窄的诊断基于内窥镜检查和计算机断层扫描结果。无术后症状且无需额外手术干预的干预措施被认为是成功的。该研究得到了HatayMustafaKemal大学伦理委员会的批准，决定号为2023/27。
结果：本研究共纳入29例患者。患者的平均年龄为26.48岁。3例患者（10.35%）有合并症。在所有患者中，经气管插管或插管和气管切开术是病因。术中无并发症。在术后期间，伤口感染3例(10.35%),皮下气肿2例(6.9%)。1例（3.45%）反复出现呼吸窘迫，考虑再狭窄并进行气管切开术。我们的并发症发生率为20.69％。当所有患者在术后随访期结束时进行评估时，手术成功率为96.55%。
结论：我们的研究中手术成功率为96.55％，并发症发生率低，我们相信,与以前的研究并行，开放手术是可靠的，目前气管狭窄治疗方法中生理上合适且成功的方法。
目的：本研究的目的是回顾性评估过去十年在我们的诊所接受气管切除和端对端吻合术的患者的预后。
方法：所有在耳鼻咽喉科接受气管切除和端到端吻合手术治疗良性气管狭窄的患者，2013年至2023年的穆斯塔法·凯末尔大学医院被纳入研究。气管狭窄的诊断基于内窥镜检查和计算机断层扫描结果。无术后症状且无需额外手术干预的干预措施被认为是成功的。该研究得到了HatayMustafaKemal大学伦理委员会的批准，决定号为2023/27。
结果：本研究共纳入29例患者。患者的平均年龄为26.48岁。3例患者（10.35%）有合并症。在所有患者中，经气管插管或插管和气管切开术是病因。术中无并发症。在术后期间，伤口感染3例(10.35%),皮下气肿2例(6.9%)。1例（3.45%）反复出现呼吸窘迫，考虑再狭窄并进行气管切开术。我们的并发症发生率为20.69％。当所有患者在术后随访期结束时进行评估时，手术成功率为96.55%。
结论：我们的研究中手术成功率为96.55％，并发症发生率低，我们相信,与以前的研究并行，开放手术是可靠的，目前气管狭窄治疗方法中生理上合适且成功的方法。
