Weidenbecher M, Gentsch H
HNO. 1980 Oct;28(10):336-42.
In the past we treated most tracheal stenoses by creating a temporary open groove with subsequent reconstruction. This method has led to unsatisfactory results in some cases and has the disadvantage of a long duration of treatment. Therefore, we replaced it by segmental resection of the trachea with an end to end anastomosis. During the last 5 years 16 patients between 28 and 57 years of age with scar stenosis or malacia of the trachea have been operated successfully. In 12 patients a tracheostomy or an open groove were present and were included in the resection 11 times and left in place once. The tracheal defects resulting from resection were of a length of 1--5.5 cm. They could in all cases be bridged by mobilization of the trachea, upper laryngeal release and fixation of the head in a flexed position. The respiration is normal in 14 patients while 2 show a slight impairment. We conclude that because of the good functional results and the short duration of treatment (maximally 3 weeks) transverse resection of the trachea with an end to end anastomosis should be preferred over other operative procedures in the therapy of tracheal stenosis.
过去，我们通过创建临时开放凹槽并随后进行重建来治疗大多数气管狭窄。这种方法在某些情况下效果并不理想，且治疗时间长。因此，我们采用气管节段切除端端吻合术取而代之。在过去5年中，16例年龄在28至57岁之间的气管瘢痕狭窄或软化患者成功接受了手术。12例患者存在气管造口术或开放凹槽，其中11次被纳入切除术，1次保留原位。切除后造成的气管缺损长度为1至5.5厘米。在所有病例中，通过气管游离、喉上松解以及将头部固定在屈曲位，缺损均能得以修复。14例患者呼吸正常，2例有轻微受损。我们得出结论，由于功能效果良好且治疗时间短（最长3周），在气管狭窄治疗中，气管节段切除端端吻合术应优于其他手术方法。
