Delgado A, Peña-Garcia J, Marin J, Aguirre H
Hospital de Especialidades, Centro Medico Nacional, IMSS, Mexico, D.F., Mexico.
Rev Laryngol Otol Rhinol (Bord). 1993;114(1):21-4.
Between 1983 and 1990 the authors treated 193 patients with laryngo-tracheal stenoses of diverse etiology. In 119 cases the stenoses was in the trachea. In 36 the stenoses extended to the subglottic region and in 1 case the carina was involved. The surgical procedure used in the tracheal stenosis was resection of the stenotic segment followed by end to end anastomosis. In most cases up to 6 cm of trachea could be resected. Two patients required a silastic prosthesis because the length of the stenotic area, 9 and 11 cm. The patient with the carinal involvement was treated by the insertion of a long Montgomery T tube. When the lesion included the subglottic area a partial resection of the cricoid cartilage and the damaged trachea was used. Associated surgical procedures had to be performed in order to close tracheo-esophageal fistulas, 2 cases, fixation of one of the vocal cords, 9 cases. Tracheal stenoses were cured in 90% of the cases with one surgical procedure, when the stenoses extended to the subglottic region, the cure rate was only 88.6%.
1983年至1990年间，作者治疗了193例病因各异的喉气管狭窄患者。其中119例狭窄位于气管，36例狭窄延伸至声门下区域，1例累及隆突。气管狭窄采用的手术方法是切除狭窄段，然后进行端端吻合。大多数情况下，可切除长达6厘米的气管。2例患者因狭窄区域长度分别为9厘米和11厘米而需要使用硅橡胶假体。累及隆突的患者通过插入一根长的蒙哥马利T形管进行治疗。当病变累及声门下区域时，采用环状软骨和受损气管的部分切除术。为闭合气管食管瘘（2例）、固定一侧声带（9例）等，还必须进行相关手术。气管狭窄经一次手术治愈的病例占90%，当狭窄延伸至声门下区域时，治愈率仅为88.6%。
