Resumo

FUENTES VALDES, Edelberto  e  CORONA MANCEBO, Sixto B. Reoperation required in tracheal surgery. Rev Cubana Cir [online]. 2013, vol.52, n.3, pp. 162-172. ISSN 0034-7493.

Objective: to present the results achieved with the surgical treatment in patients with recurrent tracheal and subglottic ischemic stenosis. Methods: twenty eight patients were operated on from recurrent tracheal and laryngeal-tracheal stenosis from June 1985 through July 2009. Two of them were excluded because they were lost during the follow-up. The study variables were origin and location of the lesion, cause of recurrence, surgical technique, complications and final results. Results: Ten patients were operated on by the authors and 16 underwent the same procedure in other hospitals. The tracheal lesion was involved in 12 cases and the subglottic one in 14. The main cause of recurrence was excessive tension on the suture line. It was not possible to define the cause in 15 patients, 14 of whom had been referred from other hospitals. Nineteen patients (73,1 %) underwent resection (tracheal 8, subglottic 11) and T-tube was placed in other 7 patients (tracheal 4 and subglottic 3). Morbidity comprised granulomas, wound infection, partial suture dehiscence, tracheal fistula and bilateral recurrent nerve lesion. Final results were excellent and satisfactory in 96.2% of cases and unsatisfactory in 3.8 %. Conclusions: Surgical treatment in cases with tracheal or subglottic recurrent stenosis may yield positive results that guarantee adequate quality of life without requiring prosthesis or tracheostomy.

Palavras-chave : tracheal stenosis; subglottic stenosis; laryngeal-tracheal stenosis; recurrence; re-operation.

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