Abstract
Background: Post intubation tracheal stenosis followed by tracheostomy resulting in destruction of long segment of trachea remains a serious clinical problem. In this study we review our experience with technique of tracheal reconstruction using pericardial flap/patch as an emergency procedure to save life of patient.
Method: Since Dec 2011 to Dec 2012, a total of 5 patients with tracheal stenosis as a result of intubation and tracheostomy were included in this study and examined for outcomes of stenosis management.
Results: Our treatment strategy for treatment of long segment of tracheal stenosis with pericardial patch/flap was associated with good outcomes. The overall success rate was 80% with no early and late complications.
Conclusion: Long term endotracheal intubation and tracheostomy results in destruction of long tracheal segment causing end to end and other repaires impossible. Therefore our technique for long segment tracheal stenosis using pericardium remains a good alternative in an emergency as a life saving procedure.
Keywords: Tracheal reconstruction, tracheal stenosis, tracheostomy, pericardial flap
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DOI: http://dx.doi.org/10.18535/jmscr/v3i9.35
