AN ANALYSIS OF 12 PATIENTS’ RESULTS OF TRACHEAL RESECTION AND ANASTOMOSIS FOR POST-INTUBATION TRACHEAL STENOSIS

INTRODUCTION: Tracheal stenosis during intubation is a serious clinical problem that is becoming more common because of improvements in critical care medicine. METHODS: The 12 instances of post-intubation tracheal stenosis treated by TRA in our head and neck surgery division between 2016 and 2022 are included in this retrospective analysis. Under general anesthesia, all patients completed preoperative clinical evaluations based on neck CT scans and endoscopies. RESULTS: The major reasons for extended intubation were trauma and traffic-related incidents. A tracheostomy was necessary for ten (10) individuals. Four patients received a grade II, two a grade III, and four a grade IV according to the Cotton Meyer grading system. The average stenosis measured 16.2 5.6 millimeters. Five individuals had T-tubes implanted intraoperatively. In a mean wait time of 9.2 months, 4 were successfully decannulated. Subcutaneous emphysema, laryngeal edema, aspiration pneumonia, intra-tracheal migration of the T-tube, and vocal cord paralysis were the early postoperative problems that occurred in 1 instance each. Granulation tissue development was seen in 5 instances as a late surgical complication, and restenosis was seen in 3 cases. The TRA has a 91.7% initial success rate. CONCLUSIONS: A talented multidisciplinary team is necessary for the management of postintubation tracheal stenosis. The gold standard is TRA, which is managed by a careful preoperative examination