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Cricotracheal resection for adult subglottic stenosis: Factors predicting treatment failure

The Laryngoscope Sep 18, 2019

Jethwa AR, Hasan W, Palme CE, et al. - In patients with subglottic stenosis (SGS), researchers conducted this retrospective cohort study to identify predictors of decannulation failure after cricotracheal resection (CTR) and thyrotracheal anastomosis (TTA). Between 1988 and 2017, charts of patients undergoing CTR and TTA for SGS at the University Health Network, Toronto, Ontario, Canada were reviewed. Participants in the study were 114 patients (mean age at primary resection was 46.9 years). Restenosis and permanent tracheostomy rates were 13% and 5%, respectively. For adult patients with subglottic stenosis, CTR and TTA were excellent surgical approaches. Data reported that 5% of patients in this study required permanent tracheostomy. Findings suggested an association of traumatic stenosis, longer T-tube duration, combined glottic/subglottic stenosis, the start of the stenosis at the vocal cords, postoperative minor complications, and need for repeat surgery with an increased risk of requiring permanent tracheostomy.
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