Paper Information

Title: 

THE ROLE OF TRACHEAL STENTING IN THE ALTERNATIVE TREATMENT OF TRACHEAL STENOSIS

Type: POSTER
Author(s): BAGHERI R.,FATHI H.,BANAZADEH M.
 
 
 
Name of Seminar: IRANIAN CONGRESS OF PHYSIOLOGY AND PHARMACOLOGY
Type of Seminar:  CONGRESS
Sponsor:  PHYSIOLOGY AND PHARMACOLOGY SOCIETY, MASHHAD UNIVERSITY OF MEDICAL SCIENCE
Date:  2007Volume 18
 
 
Abstract: 

Introduction: Tracheal stenosis may occur due to trauma, tracheal infections, tracheal malignancy and post intubation but resection and anastomosis of trachea is the best treatment. But an important complication of tracheal surgery is tracheal stenosis. The goal of this research is the study of results of stenting in patients who are not good candidate for surgery.
Method: This research is about the results of tracheal stenting in patients with: (a)-inoperable tracheal malignancy (b)-non tumoral stenosis which is complicated with previous surgery (c)-inability to stand a major operation, in Tehran Valiasr hospital (2002 -2004). Stent is of silicon type and inserted by rigid bronchoscope.
Results: 12 patients (10 benign and 2 malignant) have been worked up for 6-12 months. Mean age was 30 years. Longstanding intubation was the most common cause of stenosis (45.4%). The most important indication of stenting is the history of multiple tracheal operations. The most common complication of stenting and cause of stent removal were both granulation tissue formation. 30% of patients with benign disease have been cured with stenting and 10% were improved until they could stand a major operation. In malignant condition one patient recovered from death and lived for 3 months and in other patients it provided enough time for radiotherapy.
Conclusion: Stent removal in benign conditions showed signs of recurrence which needed another alternative treatment. This problem makes the role of stent insertion questionable. But the use of stent in malignant conditions is indicated where it is the only alternative, and its role is approved.

 
Keyword(s): 
 
Yearly Visit 17   tarjomyar
 
Latest on Blog
Enter SID Blog