The Short Term and Intermediate Term Results of using a T-tube in Patients with Tracheal Stenosis / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 63-71, 2009.
Article
de Ko
| WPRIM
| ID: wpr-85635
Bibliothèque responsable:
WPRO
ABSTRACT
BACKGROUND: The treatment of tracheal stenosis includes less invasive bronchoscopic intervention and more invasive segmental resection & anastomosis. Depending on the patient's clinical features, sometimes all these methods are inappropriate. Silicone T-tube stenting has recently been used as an alternative, safe management of tracheal stenosis. We studied the short term and Intermediate term results of using T-tubes in patients with tracheal stenosis, and this tracheal stenosis was caused by various underlying diseases. MATERIAL AND METHOD: We retrospectively reviewed 57 patients with tracheal stenosis and who were treated with T-tubes between Jan 1997 and Apr 2007. Based on the patient's medical records and the imaging studies, we evaluated the clinical findings and status of T-tube removal. RESULT: There was no T-tube related morbidity or mortality in this series. On follow-up, one patient underwent sleeve resection and end-to-end anastomosis. The T-tube could be successfully removed from 13 patients (13/57, 22.8%) without additional interventions. For another four patients, a T-tube was again inserted after removal of the first T-tube due to tracheomalacia or recurrent stenosis. Four patients died of underlying disease and cancer. The patients' gender and previous tracheostomy significantly affected T-tube removal. By contrast, multiple logistic regression analysis identified gender as a predictor of successfully removing a T-tube. Gender (p=0.033) and previous tracheostomy (p=0.036) were the two factors for success or failure of T-tube removal. CONCLUSION: A T-tube provided reliable patency of a stenotic airway that was caused by any etiology. We have proven that using a T-tube is safe and effective therapy for patients with tracheal stenosis for the short term or the intermediate term.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Silicone
/
Sténose trachéale
/
Trachéostomie
/
Modèles logistiques
/
Endoprothèses
/
Dossiers médicaux
/
Études rétrospectives
/
Études de suivi
/
Sténose pathologique
/
Trachéomalacie
Type d'étude:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limites du sujet:
Humans
langue:
Ko
Texte intégral:
The Korean Journal of Thoracic and Cardiovascular Surgery
Année:
2009
Type:
Article