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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1984;27(2): 168-72. |
Tracheal Resection and Direct End to End Anastomosis on a Post Intubation Stenosis |
Kwang Hyun Kim, MD, Chang Soon Lee, MD, and Kwan Taek Noh, MD |
Department of Otolaryngology, College of Medicine, Seoul National University, Korea |
氣管揷管에 後發한 氣管狹窄症에 대한 氣管切除 端端吻合術 |
김광현 · 이창순 · 노관택 |
서울대학교 의과대학 이비인후과학교실 |
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ABSTRACT |
Even though the circumferential resection and direct end to end anastomosis was known as an effective method to restore the normal airway anatomically and physiologically on a postintubation tracheal stenosis, it is rare in the field of E.N.T. due to a possible fatal result and difficult technique. Recently authors experienced one case of resection and anastomosis with suprahyoid release on a tracheal stenosis resulted from the endotracheal intubation. A 31 year old male patient was suffered from severe labored breathing and coughing occurred months after the endotracheal intubation for 2 days. Tracheogram showed segmental stenosis of lower cervical trachea which was ranged 1.5cm in length and approximately 3mm in diameter. We tried repeated tracheal bougienage with rigid bronchoscope but only transient improvement was attained. He was operated on April 21, 1983 and completely relieved from dyspnea immediately after operation. There has been no evidence of recurrent stenosis till now.
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