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At least 19 recordsLinked to original sources
PubMed2004

[Our experience in the surgical treatment of tracheal diseases].

UNLABELLED: A case control study is presented reviewing the outcomes of 32 consecutive major tracheal surgeries. The audit is based on our six and half year experience. MATERIAL AND METHODS: There were 11 (neo)esophageal communications, 9 direct injuries (iatrogenic and trauma), 8 endotracheal obstructions and 4 inflammatory processes requiring surgical intervention. Six sutures of the trachea, 13 resections with anastomosis, 2 external fixations and 11 combined esophagotracheal procedures were performed. RESULTS: The 30-day mortality was 12.5% (4/32) with a dominance of the inflammatory cases. The overall mortality was 21.8% due to the late complications of the surgeries for esophagotracheal sinuses. There was no death. CONCLUSIONS: Independent factors influencing outcome seemed to be: underlying pathology of the trachea, timing of intervention, nutritional state of the patient, and surgical technique. Tracheal replacement can be considered the key element of further process in this field of thoracic surgery.

Adolescent↗
PubMed1985

[Surgical treatment of tracheal diseases].

The authors discuss different variants of resection of the trachea and adjacent organs in relation to the localization and character of the disease, the variants being used in 212 patients. Special attention is given to problems of plastic repair of the trachea defects after resection. Under analysis are specific features of the combined treatment of malignant tumors of the trachea, surgical treatment of trachea-pleural and trachea-esophageal fistulas. Complications took place in 26.4%, postoperative lethality was 10.5%.

Adolescent↗
PubMed1979

Structural considerations in tracheal disease.

Examinations were made of three sections of trachea obtained from eight dogs. The sections examined were at the regions of the second ring caudal to the larynx, the thoracic inlet, and the origin of the brachiocephalic trunk. Measurements were made of the lateral and ventrodorsal diameters, the lumen area of the trachea, the width and thickness of the tracheal cartilages, and the thickness of the trachealis muscle. Cell counts-per-square-micrometer of the cartilage and trachealis muscle were made. The results of these measurements were subjected to statistical analyses by means of one-way and two-way analyses of variance. The tracheal diameters, cartialge thickness, muscle thickness, and tracheal lumen area had significantly different measurements among the areas compared with both statistical methods. Ventrodorsal tracheal diameter and lumen area were not found to have significantly different measurements between the levels of the thoracic inlet and the brachiocephalic trunk. The cell counts did not have significantly different values among the areas considered when body weight was not a factor, but the values were significant when weight was a factor.

Analysis of Variance↗
PubMed1984

Management of obstructive tracheal disease in children.

Fifty-two patients from seven weeks to 15 years of age were treated for congenital (six patients) or acquired (46 patients) tracheal lesions. Twenty underwent tracheal resection and reconstruction: congenital stenosis 3 (5 to 9 yr), postintubation stenosis 9 (11 to 15 yr), TEF 1 (15 yr), posttraumatic 2 (9 to 15 yr) idiopathic 1 (14 yr) and primary tumors 4 (8 to 15 yr). There were two carinal resections. There were two deaths and two postoperative stenoses, one of which was corrected later, giving 17 final good results. Thirty-two patients were treated nonoperatively.

Adolescent↗
PubMed1994

[Diagnostic and surgical approaches in the treatment of tracheal diseases].

The authors present 100 patients operate for diseases of the trachea during a period ranging from 1972-1991. Stricture of the trachea was observed in 75% of pts. and tumours in the remaining 25%. Stricture resulting from tracheostomy was the most frequent. The majority of patients underwent end-to-end anastomosis. A Nevill prosthesis was implanted in 5 patients. The results were good in 93.34% of pts. The mortality was 6.6%. The most frequent operation for malignant tumours was resection of the trachea and end-to-end anastomosis. The length of the respected segment ranged from 3-6 cm. There was no mortality. The authors conclude that adequate preoperative diagnostic procedures unable good assessment of a lesions and a well planed operation with good results and no mortality.

Humans↗
PubMed1981

Tracheal or esophageal compression due to benign thyroid disease.

Tracheal or esophageal compression was present in 91 (33 percent) of 273 consecutive patients with benign goiter during a 7 year experience. The underlying disease was nodular colloid goiter in 66 percent, adenoma in 21 percent, thyroiditis in 9 percent and Graves' disease in 4 percent. The incidence of tracheoesophageal compression was higher in patients with thyroiditis (67 percent) than in those with colloid goiter (46 percent). Thirty of 91 patients were completely asymptomatic but had marked tracheal deviation on roentgenography. Two thirds presented with significant dyspnea, or dysphagia or both. A long history of goiter preceding the onset of symptoms and progressive worsening of compression symptoms after its onset were common in the latter group. Previous radiographs demonstrating significant tracheal deviation during a previous presymptomatic period were available in 11 of 36 dyspneic patients. Sudden tracheal occlusion developed in 3 percent and required emergency treatment. Tracheal compression occurred more often and when present was a more ominous symptom. Compression manifestations were more frequent in patients with multinodular goiter, were more likely to appear when the underlying disorder was thyroiditis affected the tracheal more often than the esophagus and were generally gradually progressive with time. A clinical spectrum ranging from a presymptomatic tracheal compression stage to one wherein progressive worsening of symptoms occurs is suggested. After symptoms of tracheal compression become clinically manifest, the occurrence of complete airway occlusion may be sudden and unpredictable. Early operation whenever roentgenographic evidence of tracheal deviation becomes manifest is recommended.

Adolescent↗
PubMed1995

Tumors of the trachea.

Tumors of the trachea are rare and create signs and symptoms that mimic common upper airway diseases. A tracheal mass is not usually considered in the clinical differential diagnosis of an affected patient and is often overlooked on chest radiographs. The purpose of this article is to prompt earlier diagnosis and improve long-term survival of patients with a tracheal tumor through the presentation of the salient clinical, pathological, and radiological features of a variety of benign and malignant tracheal diseases.

Adolescent↗