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气管端端吻合术后失败行滑式气管成形术治疗气管狭窄成功。

Successful Treatment of Tracheal Stenosis with Slide Tracheoplasty after the Failure of Resection with End-to-End Anastomosis.

机构信息

Department of Otorhinolaryngology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

出版信息

Clin Exp Otorhinolaryngol. 2009 Dec;2(4):211-4. doi: 10.3342/ceo.2009.2.4.211. Epub 2009 Dec 31.

Abstract

The combined effects of inhaled irritant gases and heat in burn patients can result in the development of laryngotracheal strictures. Several factors could adversely affect the development of tracheal stenosis and cause the growth of granulation tissue. Yet the current treatment options for this condition are limited because of the paucity of case reports. We report here on a case of a patient who experienced recurrent upper tracheal stenosis after an inhalation injury. She displayed repetitive symptoms of stenosis even after several laryngomicrosurgeries and resection with end-to-end anastomosis. Finally, 5 yr after the burn injury, slide tracheoplasty was successfully performed and the postoperative check-up findings and the increased airway volume seen on imaging were all satisfactory.

摘要

吸入性刺激气体和热量对烧伤患者的联合作用可导致喉气管狭窄的发生。多种因素可能会对气管狭窄的发展产生不利影响,并导致肉芽组织生长。然而,由于病例报告较少,目前对此类疾病的治疗选择有限。我们在此报告一例吸入性损伤后反复发生上气管狭窄的患者。她在多次喉显微手术和端端吻合切除后仍出现反复狭窄症状。最终,在烧伤后 5 年,成功进行了滑动气管成形术,术后检查结果和影像学上气道容积的增加均令人满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8b6/2804099/57a90def6f41/ceo-2-211-g001.jpg

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