Cricotracheal Resection in a Patient with Severe Subglottic Stenosis - Advantages of a Temporary Non-Cannulated Tracheostomy
Journal Title: Balkan Medical Journal - Year 2017, Vol 34, Issue 2
Abstract
Background: Stenosis in the area of the cricotracheal segment is still a challenging problem to be dealt with. Post-intubational cases mark an increase in recent years due to the advances in intensive care, thoracic surgery and neurosurgery departments. Case Report: This paper describes a case report of a patient with severe subglottic stenosis (grade III according to the Cotton-Myer scale), introduces a new option in cricotracheal resections - postoperative temporary non-cannulated tracheostomy and describes its advantages. Conclusion: This variation of classical operative techniques provides additional fixation of the trachea, thus relieving any transitory tension on the anastomosis; acts as a valve and decreases the air-pressure in the upper airways during coughing and sneezing in the post-operative period; and is an easy access point for video tracheoscopy of the anastomosis.
Authors and Affiliations
Todor Miroslavov Popov, Tzvetomir Marinov, Julian Rangachev, Dimitar Konov, Maya Belitova
Keywords
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- EP ID EP380412
- DOI 10.4274/balkanmedj.2016.0108
- Views 58
- Downloads 0
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