Abstract
Introduction:The frequency of Tracheal Stenosis after Tracheostomy or Intubation is varuing from 10 to 19%. Stenoses responsible for a significant functional impact are however much more rare, their frequency is about 1%.Patients and methods:This is a retrospective study of eight patients admitted to our institution during 15 years, between 1995 and 2010.Results:This series includes four women and four men, the mean age was 25 years. The diagnosis was suspected in these patients because of a history of intubation and/or tracheotomy with dyspnea of recent or unusual appearance. The mean duration of intubation was 19 days , with a range of 15 to 30 days. The diagnosis was stated by the cervico-thoracic CT and bronchoscopy that mainly served to locate the stenosis, specify its type, size and guide its treatment. Our patients underwent tracheal resection anastomosis, four by cervicotomy, three using cervico-sternotomy and finally a right posterolateral thoracotomy.Conclusion:Management of postintubation tracheal stenosis should be multidisciplinary, involving intensivists, pulmonologists, otolaryngologists and thoracic surgeons. Their definitive treatment is based on tracheal resection anastomosis of the diseased segment .