Otorhinolaryngology Department, Mansoura University, Egypt.
J Laryngol Otol. 2021 Jan;135(1):57-63. doi: 10.1017/S0022215121000062. Epub 2021 Jan 25.
The incidence of recurrent stenosis after cricotracheal resection is 3-9.5 per cent. Management of such patients is challenging. This study aimed to review our experience in revision cricotracheal resection.
The study was conducted in the Otorhinolaryngology Department, Mansoura University Hospitals, Egypt, on nine patients with recurrent stenosis following cricotracheal resection. Revision cricotracheal resection was performed in all patients. Surgiflo was applied on the site of anastomosis to enhance healing.
No intra-operative complications were recorded. Minor post-operative complications occurred in two patients (surgical emphysema and temporary choking); no major complications were reported. Re-stenosis occurred in one patient. Successful decannulation was achieved in eight of the nine patients.
Revision cricotracheal resection is the definitive curative treatment for recurrent stenosis after previous unsuccessful resection. It has high success rates, provided that careful pre-operative assessment and meticulous operative technique are performed.
环状软骨气管切除术（cricotracheal resection）后再狭窄的发生率为 3-9.5%。此类患者的治疗颇具挑战性。本研究旨在回顾我们在环状软骨气管再切除术方面的经验。
该研究在埃及曼苏拉大学医院耳鼻喉科进行，纳入 9 例环状软骨气管切除术后再狭窄患者。所有患者均接受环状软骨气管再切除术。吻合口处应用 Surgiflo 以促进愈合。
术中无并发症记录。两名患者出现轻微术后并发症（皮下气肿和暂时性窒息）；无重大并发症报告。1 例患者出现再狭窄。9 例患者中有 8 例成功拔管。
对于先前不成功的切除术后再次出现的狭窄，环状软骨气管再切除术是一种明确的治疗方法。只要进行仔细的术前评估和精细的手术操作，该方法具有较高的成功率。
