[Results of surgical and conservative therapy of tracheal and tracheoesophageal lesions]. / Výsledky chirurgické a konzervativní terapie tracheálních a tracheoezofageálních lézí.

The paper deals with 10 years of experience a multispecialty team has reached in the therapy of tracheal stenoses and acquired tracheoesophageal fistulas. In 38 surgical patients the authors performed 50 reconstruction operations. The best results were reached in stenoses and tumours of trachea provided the patient had not died after the operation. In the group of 13 patients with surgery for tracheoesophageal fistula there were seven who died in the postoperation period. The problem of reoperation is discussed as well as the technique of the intervention with the use of Rehn's grafts and microsurgery occlusions of the fistulas by way of a tracheostoma. Two previously published cases are briefly described, the first being a complete resection of tracheal bifurcation, the other one being a rare mucosa form of epidermolysis bullosa, localized and surgically treated in the region of cervical oesophagus.