Department of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, 5, Fu-shin street, Kweishan 333, Taoyuan, Taiwan.
Department of Otolaryngology-Head and Neck Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, 5, Fu-shin street, Kweishan 333, Taoyuan, Taiwan; School of Medicine, Chang Gung University, Taoyuan, Taiwan.
Auris Nasus Larynx. 2022 Feb;49(1):106-111. doi: 10.1016/j.anl.2021.06.007. Epub 2021 Jul 22.
Tracheal granulation is one of the common long term complications in patients after tracheostomy. Hypertrophic tracheal granulation may cause airway obstruction and further operation may be required to recreate an airway. Distal tracheal granulation is clinically challenging because of its position and surgical field limitation. This retrospective case review study evaluated the outcomes of PEAK PlasmaBlade-assisted tracheal surgery in patients with distal tracheal granulation.
This study retrospectively reviewed patients with distal tracheal granulation following long-term tracheostomy. All patients received PEAK PlasmaBlade assistance tracheal surgery (PATS) between February 2013 and December 2019. The surgery was performed using the PEAK PlasmaBlade with TnA type tip, powered by a PULSAR Generator, and guided by a 45 ° rigid endoscope. Patients were regularly followed up for a minimum of 12 months.
A total 21 patients had completed PATS. None of the patients experience immediate life-threatening complications during or after the procedure. All the 21 patients were free of recurrent obstructive granulation within 12 months after operation.
PATS is practical, effective, and safe for distal tracheal granulation and can be performed by single surgeon. Furthermore, it is technically less demanding than other surgical approaches and it has a rapid learning curve.
气管肉芽是气管切开术后患者常见的长期并发症之一。肥大性气管肉芽可能导致气道阻塞，需要进一步手术以重建气道。由于位置和手术视野限制，远端气管肉芽在临床上具有挑战性。本回顾性病例研究评估了 PEAK PlasmaBlade 辅助气管手术治疗远端气管肉芽的效果。
本研究回顾性分析了长期气管造口术后发生远端气管肉芽的患者。所有患者均于 2013 年 2 月至 2019 年 12 月期间接受了 PEAK PlasmaBlade 辅助气管手术（PATS）。手术采用 TnA 型尖端的 PEAK PlasmaBlade，由 PULSAR 发生器供电，通过 45°硬性内窥镜引导。患者定期随访至少 12 个月。
共有 21 例患者完成了 PATS。在手术过程中和手术后，没有患者出现立即危及生命的并发症。所有 21 例患者术后 12 个月内均无复发性阻塞性肉芽。
PATS 治疗远端气管肉芽实用、有效且安全，可由单名外科医生完成。此外，与其他手术方法相比，它的技术要求较低，且学习曲线较陡。
