The Short Term and Intermediate Term Results of using a T-tube in Patients with Tracheal Stenosis.
- Author:
Young Jo SA
1
;
Seok Whan MOON
;
Young Du KIM
;
Ung JIN
;
Jae Kil PARK
;
Jae Jun KIM
;
Chi Kyung KIM
;
Keon Hyon JO
;
Chan Beom PARK
;
Hyeon Woo YIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, The Catholic University of Korea College of Medicine, Korea. swmoon@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Tracheal stenosis;
Treacheostomy
- MeSH:
Constriction, Pathologic;
Follow-Up Studies;
Humans;
Logistic Models;
Medical Records;
Retrospective Studies;
Silicones;
Stents;
Tracheal Stenosis;
Tracheomalacia;
Tracheostomy
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2009;42(1):63-71
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The treatment of tracheal stenosis includes less invasive bronchoscopic intervention and more invasive segmental resection & anastomosis. Depending on the patient's clinical features, sometimes all these methods are inappropriate. Silicone T-tube stenting has recently been used as an alternative, safe management of tracheal stenosis. We studied the short term and Intermediate term results of using T-tubes in patients with tracheal stenosis, and this tracheal stenosis was caused by various underlying diseases. MATERIAL AND METHOD: We retrospectively reviewed 57 patients with tracheal stenosis and who were treated with T-tubes between Jan 1997 and Apr 2007. Based on the patient's medical records and the imaging studies, we evaluated the clinical findings and status of T-tube removal. RESULT: There was no T-tube related morbidity or mortality in this series. On follow-up, one patient underwent sleeve resection and end-to-end anastomosis. The T-tube could be successfully removed from 13 patients (13/57, 22.8%) without additional interventions. For another four patients, a T-tube was again inserted after removal of the first T-tube due to tracheomalacia or recurrent stenosis. Four patients died of underlying disease and cancer. The patients' gender and previous tracheostomy significantly affected T-tube removal. By contrast, multiple logistic regression analysis identified gender as a predictor of successfully removing a T-tube. Gender (p=0.033) and previous tracheostomy (p=0.036) were the two factors for success or failure of T-tube removal. CONCLUSION: A T-tube provided reliable patency of a stenotic airway that was caused by any etiology. We have proven that using a T-tube is safe and effective therapy for patients with tracheal stenosis for the short term or the intermediate term.
