挿管後気管狭窄に対する頚部気管管状切除輪状軟骨気管吻合術の１例

DOI 被引用文献4件 参考文献6件

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  • A case with tracheal stenosis due to endotracheal intubation successfully treated by cricotracheal anastomosis.

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Treatment for tracheal stenosis due to endotracheal intubation is still not easy. We experienced such a case successfully treated by cricotracheal anastomosis. A 32-year-old male who had been treated by endotracheal intubation during 12 days for coma caused by over-dose sleeping pills showed the onset of dyspnea one month later. A cicatricial stricture was found mainly in the upper trachea extending into the lower edge of the subglottic space. Tracheostomy was performed at the level of just peripheral side of the tracheal stenosis. Then we resected only the narrowed segment of the trachea in about 5 cm length, preserving the cricoid cartilage, and following cricotracheal anastomosis.<BR>Although subglottic granulation tissue could not be resected completely, the postoperative course was uneventful, and he is now leading a normal life without anastomotic stenosis or speech disturbance.

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