TY - JOUR T1 - Tracheal stenosis. Prevention and treatment JF - European Respiratory Journal JO - Eur Respir J VL - 42 IS - Suppl 57 SP - P4955 AU - Igor Motus AU - Nadezhda Giss Y1 - 2013/09/01 UR - http://erj.ersjournals.com/content/42/Suppl_57/P4955.abstract N2 - OBJECTIVE. The aim of the study was to elucidate the sources of tracheal stenosis and find proper ways of its prevention and treatment.METHODS. We reviewed the data of 848 patients subjected to long-time artificial lung ventilation via tracheostomy in Ekaterinburg from 2006 to 2011 years and found 54 (664%) patients with cicatrical tracheal stenosis (I group). In order to reveal early posttracheostomy alterations threatening with stenosis development we examined 149 patients (II group). The alterations concerned were found in 28 cases. The treatment for preventing the stenosis in its initial stage namely endoscopic sanation, granulematous tissue debridement, cryotherapy was undertaken in all 28 patients. Circular resections were performed in 23 cases (9 with and 14 without existing tracheostomy).RESULTS. In I group urgent repeated tracheostomies became necessary in 7 patients. Bougienage and T-tube placement were necessary only in patients of I group and were performed in 41 and 6 cases respectively. Circular resection of the trachea was performed in 19 patients. Restenosis after resection developed in 2 cases and erosion hemorrhage in 2 patients. Of the 28 patients in II group 19 were cured and 11 are still under treatment. Circular resections of the trachea became necessary only in 4 cases in II group and were uneventful. There were no urgent repeated tracheostomies in this group.CONCLUSIONS. Permanent observation of patients after prolonged tracheostomy is necessary to detect early signs of stenosis formation. Endoscopic treatment undertaken in proper time results in reducing the rate of stenosis, avoids urgent situations and improves the surgical conditions in tracheal resection. ER -