e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Surgical outcomes following tracheal reconstruction in patients with post-intubation tracheal stenosis
Mustafa Sısman1, Omer Topaloglu2, Sami Karapolat1, Atila Turkyilmaz1, Ali Akdogan3, Celal Tekinbas1
1Department of Thoracic Surgery, Karadeniz Technical University, Faculty of Medicine, Trabzon, Türkiye
2Department of Thoracic Surgery, Recep Tayyip Erdoğan University Faculty of Medicine, Rize, Turkey
3Department of Anesthesiology, Karadeniz Technical University, Faculty of Medicine, Trabzon, Türkiye
DOI : 10.5606/tgkdc.dergisi.2025.26979
Background: The aim of this study was to evaluate the surgical outcomes of patients who underwent tracheal resection due to post-intubation tracheal stenosis.

Methods: Between January 2014 and December 2021, a total of 44 patients (32 males, 12 females; median age: 48.2 years; range, 13 to 68 years) who underwent tracheal resection and reconstruction for post-intubation tracheal stenosis in our clinic were retrospectively analyzed. Demographic and clinical data of the patients, radiological imaging, and laboratory results and operative and postoperative follow-up data were recorded.

Results: The most common reason for intubation among the patients included in the study was trauma. All patients had stridor. Twenty-six (59.1%) patients had at least one comorbidity. Stenosis was located in the upper half of the trachea in 33 (75%) and in the lower half of the trachea in 11 (25%) patients. The length of the tracheal segment removed during surgery was <3 cm in 26 (59.1%) and >3 cm in 18 (40.9%) patients. A total of 16 (36%) patients developed complications. Complications were more frequent in patients with a history of preoperative tracheostomy, presence of comorbidities and resection of the upper half of the trachea. The patients did not receive jaw-neck sutures thanks to the use of retention sutures in our clinic. The median length of stay in the hospital was 5 (range, 4 to 16) days.

Conclusion: Significant predisposing factors for complications include preoperative tracheostomy history, comorbidities and resection of the upper half of the trachea. In our study, the patients did not receive jaw-neck sutures thanks to the use of retention sutures, which increased patient comfort in the postoperative period and decreased the frequency of anastomosis-related complications.

Keywords : Bronchoscopy, post-intubation tracheal stenosis, retention suture
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