No Abstract available.
Tracheal Stenosis*

No abstract available.
Tracheal Stenosis*

We report the case of tracheal neoplasm with sucessful result. The first symptoms may be shortness of breath, persistent cough and consequently is hemoptysis. Wheezing and stridor are often occurring. Fibroptic bronchoscopy is important in diagnosing and assessing the extent of the endotracheal lesion. The intubation would be introduced below the site of lesion and through operative field in Vietnamse condition with limited equipment. In the case of lesion less than 3 cm, you can resect lesions and then reconstruct the trachea with end -to-end anastomosis without any other technique
Tracheal Neoplasms

No abstract available.
Tracheal Stenosis*

No abstract available.
Tracheal Stenosis*

No abstract available.
Tracheal Stenosis*

No abstract available.
Humans ; Tracheal Stenosis*

No abstract available.
Retrospective Studies* ; Tracheal Stenosis*

OBJECTIVE: To describe the clinical profiles, interventions, and surgical outcomes of patients with advanced (grade III and IV) laryngotracheal stenosis prospectively seen over a 2-year period.  

METHODS:

           Design:           Prospective Case Series

          Setting:           Tertiary Provincial Government Hospital

          Participants:  Five (5) patients with advanced laryngotracheal stenosis confirmed by laryngoscopy and/or tracheoscopy.

RESULTS: Five (5) patients (4 males, 1 female), aged 23 to 31years (mean 27-years-old) diagnosed with advanced laryngotracheal stenosis between June 2016 to June 2018 were included in this series. Four resulted from prolonged intubation (14 - 60 days) while one had a prolonged tracheotomy (13 years). Presentations of stenosis included dyspnea on extubation attempt (n=3), failure to extubate (n=1) and failure to decannulate tracheotomy (n=1). Stenosis length was 3 cm in two, and 1.5 cm in three. Of the five (5) patients, three had grade IV stenosis while two had grade III stenosis based on the Cotton-Myer Classification System. Two of those with grade IV stenosis and both patients with grade III stenosis had undergone prolonged intubation. The stenosis involved the subglottis in three, and combined subglottic and tracheal stenosis in two. Prolonged intubation was present in all three with subglottic stenosis, and in one of the two with combined subglottic and tracheal stenosis. Two patients underwent open surgical approaches while three underwent endoscopic dilatation procedures. Four patients were successfully decannulated while one is still on tracheostomy. None of them had post-operative complications.

CONCLUSION:  Advanced laryngotracheal stenosis is a challenging entity that results from heterogenous causes. Categorizing stenosis and measuring stenosis length may help in treatment planning and predicting surgical outcome.

When tracheal invasion of a malignant tumor or tracheal stenosis of a benign origin exists at the lower or anterior part of the trachea, tracheal intubation or conventional tracheostomy may be difficult, and in these cases a modified tracheostomy through the lower or lateral part of the trachea would be necessary. We present 6 cases of modified tracheostomy performed with satisfactory results in severe tracheal stenosis that developed in the lower or anterior part of the trachea.
Intubation ; Trachea ; Tracheal Stenosis* ; Tracheostomy*