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Revision cricotracheal resection: our experience

Published online by Cambridge University Press:  25 January 2021

H A Ebada ,
A M A El-Fattah  and
A Tawfik
H A Ebada*
Affiliation:
Otorhinolaryngology Department, Mansoura University, Egypt
A M A El-Fattah
Affiliation:
Otorhinolaryngology Department, Mansoura University, Egypt
A Tawfik
Affiliation:
Otorhinolaryngology Department, Mansoura University, Egypt
*
Author for correspondence: Dr Hisham Atef Ebada, Otorhinolaryngology Department, Mansoura University, Mansoura35511, Egypt E-mail: hishamebada@mans.edu.eg
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Abstract

Objective

The incidence of recurrent stenosis after cricotracheal resection is 3–9.5 per cent. Management of such patients is challenging. This study aimed to review our experience in revision cricotracheal resection.

Methods

The study was conducted in the Otorhinolaryngology Department, Mansoura University Hospitals, Egypt, on nine patients with recurrent stenosis following cricotracheal resection. Revision cricotracheal resection was performed in all patients. Surgiflo was applied on the site of anastomosis to enhance healing.

Results

No intra-operative complications were recorded. Minor post-operative complications occurred in two patients (surgical emphysema and temporary choking); no major complications were reported. Re-stenosis occurred in one patient. Successful decannulation was achieved in eight of the nine patients.

Conclusion

Revision cricotracheal resection is the definitive curative treatment for recurrent stenosis after previous unsuccessful resection. It has high success rates, provided that careful pre-operative assessment and meticulous operative technique are performed.

Keywords

TracheaStenosisSurgiflo
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 1 , January 2021 , pp. 57 - 63
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr H A Ebada takes responsibility for the integrity of the content of the paper

References

Siciliani, A, Rendina, EA, Ibrahim, M. State of the art in tracheal surgery: a brief literature review. Multidiscip Respir Med 2018;13:3410.1186/s40248-018-0147-2CrossRefGoogle ScholarPubMed
El-Fattah, AMA, Ebada, HA, Amer, HE, Abosamra, MM, Tawfik, A. Partial cricotracheal resection for severe upper tracheal stenosis: potential impacts on the outcome. Auris Nasus Larynx 2018;45:116–2210.1016/j.anl.2017.03.014CrossRefGoogle ScholarPubMed
D'Andrilli, A, Maurizi, G, Andreetti, C, Ciccone, AM, Ibrahim, M, Poggi, C et al. Long-term results of laryngotracheal resection for benign stenosis from a series of 109 consecutive patients. Eur J Cardiothorac Surg 2016;50:105–910.1093/ejcts/ezv471CrossRefGoogle ScholarPubMed
Myer, CM 3rd, O'Connor, DM, Cotton, RT. Proposed grading system for subglottic stenosis based on endotracheal tube sizes. Ann Otol Rhinol Laryngol 1994;103:319–2310.1177/000348949410300410CrossRefGoogle ScholarPubMed
Auchincloss, HG, Wright, CD. Complications after tracheal resection and reconstruction: prevention and treatment. J Thorac Dis 2016;8:S160–7Google ScholarPubMed
Morcillo, A, Wins, R, Gómez-Caro, A, Paradela, M, Molins, L, Tarrazona, V. Single-staged laryngotracheal reconstruction for idiopathic tracheal stenosis. Ann Thorac Surg 2013;95:433–910.1016/j.athoracsur.2012.09.093CrossRefGoogle ScholarPubMed
Marulli, G, Rizzardi, G, Bortolotti, L, Loy, M, Breda, C, Hamad, A-M et al. Single-staged laryngotracheal resection and reconstruction for benign strictures in adults. Interact Cardiovasc Thorac Surg 2008;7:227–3010.1510/icvts.2007.168054CrossRefGoogle ScholarPubMed
Ashiku, SK, Kuzucu, A, Grillo, HC, Wright, CD, Wain, JC, Lo, B et al. Idiopathic laryngotracheal stenosis: effective definitive treatment with laryngotracheal resection. J Thorac Cardiovasc Surg 2004;127:99–10710.1016/j.jtcvs.2002.11.001CrossRefGoogle ScholarPubMed
Tapias, LF, Mathisen, DJ. Prevention and management of complications following tracheal resections—lessons learned at the Massachusetts General Hospital. Ann Thorac Surg 2018;7:237–43Google Scholar
Ebada, HA, Abd El-Fattah, AM, Salem, EH, Elkotb, MY, Kamal, E, Tawfik, A. Challenging tracheal resection anastomosis: case series. Auris Nasus Larynx 2020;47:616–2310.1016/j.anl.2020.01.004CrossRefGoogle ScholarPubMed
Monnier, P. Partial cricotracheal resection. In: Monnier, P, ed. Pediatric Airway Surgery: Management of Laryngotracheal Stenosis in Infants and Children. Berlin, Heidelberg: Springer-Verlag, 2011;279–32110.1007/978-3-642-13535-4_20CrossRefGoogle Scholar
Wright, CD, Grillo, HC, Wain, JC, Wong, DR, Donahue, DM, Gaissert, HA et al. Anastomotic complications after tracheal resection: prognostic factors and management. J Thorac Cardiovasc Surg 2004;128:731–910.1016/j.jtcvs.2004.07.005CrossRefGoogle ScholarPubMed
Donahue, DM. Reoperative tracheal surgery. Chest Surg Clin N Am 2003;13:375–8310.1016/S1052-3359(03)00028-0CrossRefGoogle ScholarPubMed
Grillo, HC, Donahue, DM, Mathisen, DJ, Wain, JC, Wright, CD. Postintubation tracheal stenosis: treatment and results. J Thorac Cardiovasc Surg 1995;109:486–9310.1016/S0022-5223(95)70279-2CrossRefGoogle ScholarPubMed
Grillo, HC, Mathisen, DJ, Wain, JC. Laryngotracheal resection and reconstruction for subglottic stenosis. Ann Thorac Surg 1992;53:54–6310.1016/0003-4975(92)90757-UCrossRefGoogle ScholarPubMed
Monnier, P, Lang, F, Savary, M. Partial cricotracheal resection for severe pediatric subglottic stenosis: update of the Lausanne experience. Ann Otol Rhinol Laryngol 1998;107:961–810.1177/000348949810701111CrossRefGoogle ScholarPubMed
Monnier, P, Lang, F, Savary, M. Cricotracheal resection for pediatric subglottic stenosis. Int J Pediatr Otorhinolaryngol 1999;49:S283–610.1016/S0165-5876(99)00175-5CrossRefGoogle ScholarPubMed
Monnier, P. Revision surgery. In: Monnier, P, ed. Pediatric Airway Surgery: Management of Laryngotracheal Stenosis in Infants and Children. Berlin, Heidelberg: Springer-Verlag, 2011;349–5710.1007/978-3-642-13535-4_23CrossRefGoogle Scholar
Taylor, JC, Collar, RM, Wilson, KF, Ohye, RG, Green, GE. Cricotracheal resection with hilar release for pediatric airway stenosis. Arch Otolaryngol Head Neck Surg 2010;136:256–910.1001/archoto.2010.12CrossRefGoogle ScholarPubMed
Wolf, M, Shapira, Y, Talmi, YP, Novikov, I, Kronenberg, J, Yellin, A. Laryngotracheal anastomosis: primary and revised procedures. Laryngoscope 2001;111:622–710.1097/00005537-200104000-00012CrossRefGoogle ScholarPubMed
Hentze, M, Schytte, S, Pilegaard, H, Klug, TE. Single-stage tracheal and cricotracheal segmental resection with end-to-end anastomosis: outcome, complications, and risk factors. Auris Nasus Larynx 2019;46:122–810.1016/j.anl.2018.06.001CrossRefGoogle ScholarPubMed
Nakache, G, Primov-Fever, A, Alon, E, Wolf, M. Predicting outcome in tracheal and cricotracheal segmental resection. Eur Arch Otorhinolaryngol 2015;272:1471–510.1007/s00405-015-3575-zCrossRefGoogle ScholarPubMed
El-Fattah, A, Kamal, E, Amer, H, Fouda, M, Elwahab, A, Tawfik, A. Cervical tracheal resection with cricotracheal anastomosis: experience in adults with grade III–IV tracheal stenosis. J Laryngol Otol 2011;125:614–1910.1017/S0022215110002537CrossRefGoogle ScholarPubMed
Montgomery, WW. Suprahyoid release for tracheal anastomosis. Arch Otolaryngol 1974;99:255–6010.1001/archotol.1974.00780030265005CrossRefGoogle ScholarPubMed
Broussard, B, Mathisen, DJ. Tracheal release maneuvers. Ann Thorac Cardiovasc 2018;7:293–8Google ScholarPubMed
Grillo, HC. Surgical treatment of postintubation tracheal injuries. J Thorac Cardiovasc Surg 1979;78:860–7510.1016/S0022-5223(19)38030-4CrossRefGoogle ScholarPubMed
Abd El-Fattah, AM, Ebada, H, Tawfik, A. Surgiflo® may have a potential impact on the healing process in cricotracheal resection anastomosis. Clin Otolaryngol 2020;45:870–610.1111/coa.13614CrossRefGoogle Scholar
Price, JS, Tackett, S, Patel, V. Observational evaluation of outcomes and resource utilization from hemostatic matrices in spine surgery. J Med Econ 2015;18:777–8610.3111/13696998.2015.1046879CrossRefGoogle ScholarPubMed
Bannister, M, Ah-See, K. Safety of the haemostatic agent Surgiflo® in excisions of the submandibular gland: our experience in 17 cases. Br J Oral Maxillofac Surg 2014;52:e134–510.1016/j.bjoms.2014.05.014CrossRefGoogle ScholarPubMed
Doria, C, Vaccino, S. Topical hemostasis: a valuable adjunct to control bleeding in the operating room, with a special focus on thrombin and fibrin sealants. Expert Opin Biol Ther 2009;9:243–710.1517/14712590802689258CrossRefGoogle ScholarPubMed
Lipkin, ME, Mancini, JG, Toncheva, G, Wang, AJ, Anderson-Evans, C, Simmons, WN et al. Organ-specific radiation dose rates and effective dose rates during percutaneous nephrolithotomy. J Endourol 2012;26:439–4310.1089/end.2011.0178CrossRefGoogle ScholarPubMed