Grillo H C
Int Surg. 1982 Jul-Sep;67(3):215-20.
Extensive destruction of the trachea by post-intubation stenosis is usually the result of ill-advised treatment, either conservative or excisional, of an already existing stenosis. Under these circumstances, reconstruction may be done by use of adjunctive techniques, the chief of which is laryngeal release. The rarity of the need for adjunctive procedures is indicated by the fact that only 28 patients out of 208 required such procedures in an extensive series of reconstructions for these lesions. This series included 33 patients who had undergone prior attempts at surgical reconstruction and many extensive lesions which were referred to us because of their difficulty. It is emphasized that these stenoses can generally be managed safely by intubation if they are non-resectable and non-reparable, with long-term life expectancy.
气管插管后狭窄对气管造成的广泛破坏通常是对已存在的狭窄进行保守或切除等不当治疗的结果。在这种情况下，可采用辅助技术进行重建，其中主要的是喉部松解术。辅助手术需求的罕见性体现在以下事实：在针对这些病变的一系列广泛重建手术中，208例患者中只有28例需要此类手术。该系列包括33例曾接受过手术重建尝试的患者，以及许多因病情复杂而转诊至我们这里的广泛病变患者。需要强调的是，如果这些狭窄不可切除且无法修复，但患者预期寿命较长，一般可通过插管安全地进行处理。
