Deo Ravi P, Sagayaraj A, Kumar Balan Ashok, Azeem Mohiyuddin S M
Department of Otorhinolaryngology and Head and Neck Surgery, Sri Devaraj Urs Medical College, SDUAHER, Kolar, India.
Indian J Otolaryngol Head Neck Surg. 2022 Oct;74(Suppl 2):2404-2408. doi: 10.1007/s12070-020-02162-8. Epub 2020 Oct 9.
This study aims to propose a novel surgical technique to rehabilitate patients with long term complication of trachea-esophageal puncture and stomal stenosis. Ours is retrospective study. Ten patients with tracheo-esophageal puncture who developed long term complications and who failed conservative management were included in our study. Majority of our patients were males within the age group of 50-70 years of age. Most of our patients had received adjuvant radiotherapy (8/10). All patients had multiple change of prosthesis. Nine patients suffered from multiple complications of TEP. Most common complication was that of progressive thinning of trachea-esophageal wall. All the patients who underwent this procedure healed well without any major complications. Long term trachea-esophageal puncture may undergo significant modification in terms of position and size. This technique gives a satisfactory and viable method of excising the altered anatomy and establishes speech & swallowing in such patients who fail conservative management.
本研究旨在提出一种新型手术技术，用于修复气管食管穿刺和造口狭窄长期并发症的患者。我们进行的是一项回顾性研究。本研究纳入了10例发生长期并发症且保守治疗失败的气管食管穿刺患者。我们的大多数患者为50至70岁的男性。我们的大多数患者接受过辅助放疗（8/10）。所有患者都多次更换过假体。9例患者患有气管食管穿刺的多种并发症。最常见的并发症是气管食管壁逐渐变薄。所有接受该手术的患者均愈合良好，无任何重大并发症。长期气管食管穿刺在位置和大小方面可能会发生显著改变。该技术为切除改变的解剖结构提供了一种令人满意且可行的方法，并为保守治疗失败的此类患者建立言语和吞咽功能。
