Resection and reconstruction of cervical tracheal stenosis

Background: Tracheal resection and primary re anastomosis for tracheal stenosis or tracheal tumor is not uncommon operation

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Objective: To assess the aetiology of stenosis of cervical trachea and their surgical reconstruction

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Patients and Methods: This is a retrospective study of forty patients with cervical tracheal stenosis ,who were treated at Ibn Al Nafees Hospital during six years period from January 2006 to October 2012 .It illustrates the diagnostic methods and the surgical techniques of reconstruction

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Results: Most of the patients ,were male [80%] and only [20%] were female .The most common etiological factor was post intubation stenosis [70%],less common cause was traumatic stenosis and the least was neoplastic stenosis . Progressive dyspnea was the most common presenting clinical feature .The mean length of resection was three rings .Seven patients developed complications, and dealt with successfully with one mortality

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Conclusion: Bronchoscopy and radiography remain the main diagnostic tool for evaluating it .Resection and end to end anastamosis is the best method of treatment In special cases .Some cases can be treated by endoscopy and laser therapy