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Management of Tracheal Stenosis in Sub-Saharan Medicalized Context: Real Challenge about Two Clinical Cases

DOI: 10.4236/ijohns.2023.123016, PP. 151-162

Keywords: Tracheal Stenosis, Intubation, Tracheostomy

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Abstract:

Introduction: Post-intubation tracheal stenosis (STPI) is a complication of ventilatory assistance by intubation and/or tracheotomy. Her frequency is estimated between 10% to 20%. The treatment of choice remains surgery. It is based on tracheal resection-anastomosis which guarantees satisfactory and reliable long-term results. Objectives: To determine the frequency of post-intubation tracheal stenosis, to specify the diagnostic and therapeutic methods, to determine the complications and the evolution. Material and methods: This was a study carried out in the ENT and head and neck surgery department of the University Hospital Center Gabriel TOURE. Our study focused on two (02) cases of post-intubation tracheal stenosis (STPI) collected during a period of 1 year (January 2021 to December 2021). Results: They are all acquired, secondary to an intubation. The two (02) cases benefited from a tracheal anastomosis resection, the indications of which were specified and the results and complications evaluated. Conclusion: Our results show that resection anastomosis remains the reference treatment for STPI.

References

[1]  Harzallah, M., Fdhila, R., Ali, M.B., Bouslama, M., Kermani, W., Zeglaoui, I., Mani, R., Abdelkefi, M., Belcadhi, M. and Bouzouita, K. (2010) Stenose Tracheale post-Intubation. Journal Tunisien d’ORL et de Chirurgie Cervico-Faciale, 24, 8-13.
https://doi.org/10.4314/jtdorl.v24i1.64195
[2]  Righini, C.A., Ferretti, G., Pison, C. and Reyt, E. (2015) Adult Tracheal Stenosis. EMC—Otorhinolaryngology, 10, 1-15.
[3]  Froui, S. and Khachnaoui, F. (2017) Severe Tracheal Stenosis after Prolonged Intubation. Pan African Medical Journal, 28, 247-249.
https://doi.org/10.11604/pamj.2017.28.247.9353
[4]  Brichet, A., Ramon, P. and Marquette, C.H. (2002) Stenosis and Post-Intubation Tracheal Complications. Resuscitation éditions scientifiques et médicales Elsevier SAS 2002, 11, 49-58.
https://doi.org/10.1016/S1624-0693(01)00203-1
[5]  Mattioli, F., Marchioni, A., Andreani, A., Cappiello, G., Fermi, M. and Presutti1, L. (2021) Post-Intubation Tracheal Stenosis in COVID-19 Patients. European Archives of Oto-Rhino-Laryngology, 278, 847-848.
https://doi.org/10.1007/s00405-020-06394-w
[6]  Bisson, A., Bonnette, P., El Kadi, B.N., Leroy, M., Colchen, A., Person, C., et al. (1992) Tracheal Sleeve Resection for Iatrogenic Stenoses (Subglottic Laryngeal and Tracheal). The Journal of Thoracic and Cardiovascular Surgery, 104, 882-887.
https://doi.org/10.1016/S0022-5223(19)34666-5
[7]  Baugnée, P., Marquette, C.H., Ramon, P., Darras, J. and Wurtz, A. (1995) Endoscopic Treatment of Post-Intubation Tracheal Stenosis. Apropos 58 Cases. Revue des Maladies Respiratoires, 12, 585-592.
[8]  Nordin, U. (1997) The Tracheal and Cuff-Induced Tracheal Injury. Acta Oto-Laryngologica, 345, 7-56.
[9]  Brochard, L., Rauss, A., Benito, S., et al. (1994) Comparison of Three Methods of Gradual Withdrawal from Ventilatory Support during Weaning from Mechanical Ventilation. American Journal of Respiratory and Critical Care Medicine, 150, 896-903.
https://doi.org/10.1164/ajrccm.150.4.7921460
[10]  Cook, D., Walker, S.D., Cook, R.J., et al. (1998) Incidence of and Risk Factors for Ventilator Associated Pneumonia in Critically Ill Patients. Annals of Internal Medicine, 129, 433-440.
https://doi.org/10.7326/0003-4819-129-6-199809150-00002
[11]  Kaflon, P. (1999) Early Tracheotomy or Prolonged Translaryngeal Intubation? The Anesthesia-Resuscitation Practitioner, 3, 110-116.
[12]  Mahul, P., Auboyer, C., Jospe, R., et al. (1992) Prevention of Nosocomial Pneumonia in Intubated Patients: Respective Role of Mechanical Subglottic Secretions Drainage and Stress Ulcer Prophylaxis. Intensive Care Medicine, 18, 20-25.
https://doi.org/10.1007/BF01706421
[13]  Wolf, M., Shapira, Y., Talmi, Y.P., Novikov, I., Kronenberg, J. and Yellin, A. (2001) Laryngotracheal Anastomosis: Primary and Revised Procedures. Laryngoscope, 111, 622-627.
https://doi.org/10.1097/00005537-200104000-00012
[14]  Cuisnier, O., Righini, C., Pison, C., Ferretti, G. and Reyt, E. (2004) Surgical and/or Endoscopic Treatment of Acquired Tracheal Stenosis in Adult Patients. Ann Otolaryngol Chir Cervicofac, 121, 3-13.
[15]  Thi, T.P., Tran, N., Pham, D., Le, V., Thuong, V.L., Dai, H.N., Phu, T.N., Hoang, T.N., Quoc, T.P. and Nguyen, T. (2013) Treatment of Prolonged Post-Intubation Tracheal Stenosis by Placing Place of a Silicone Prosthesis. Journal of Functional Ventilation and Pulmonology, 4, 1-52.
[16]  Nannion, X., Largos, M., et al. (1987) Cicatricial Tracheal Stenoses and under Glottics: Our Experience from 39 Cases. Cahiers d’ORL, 107, 588-592.
[17]  Ebada, H.A., El-Fattah, A.M.A. and Salem, E.H., et al. (2020) Challenging Tracheal Resection Anastomosis: Case Series. Auris Nasus Larynx, 47, 616-623.
https://doi.org/10.1016/j.anl.2020.01.004
[18]  Charokopos, N., Foroulis, C.N., Rouska, E., Sileli, M.N., Papadopoulos, N. and Papakonstantinou, C. (2011) The Management of Post-Intubation Tracheal Stenoses with Self-Expandable Stents: Early and Long-Term Results in 11 Cases. European Journal of Cardio-Thoracic Surgery, 40, 919-925.
https://doi.org/10.1016/j.ejcts.2010.12.042
[19]  Puri1, H.V., Asaf1, B.B., Mundale, V.V., Pulle, M.V., Bishnoi, S., Munjal, M. and Kumar, T. (2020) Predictors of Anastomotic Complications after Resection and Anastomosis for Tracheal Stenosis. Indian Journal of Otolaryngology and Head & Neck Surgery, 73, 447-454.
[20]  Sahin, M.F., Beyoglu, M.A., Yazicioglu, A. and Yekeler, E. (2021) Analysis of 40 Patients Who Underwent Tracheal Resection Due to Benign Complex Tracheal Stenosis. Asian Journal of Surgery, 45, 213-219.
https://doi.org/10.1016/j.asjsur.2021.04.040
[21]  Karen, S., Lee, M.D., Phillip, M. and Boiselle, M.D. (2010) Update on Multidetector Computed Tomography Imaging of the Airways. Journal of Thoracic Imaging, 25, 112-124.
https://doi.org/10.1097/RTI.0b013e3181d7e721
[22]  Couraud, L., Jougon, J., Velly, J.F. and Klein, C. (1994) Iatrogenic Stenoses of the Respiratory Tract. Evolution of Therapeutic Indications. Based on 217 Surgical Cases. Annales de Chirurgie, 48, 277-283.
[23]  Brichet, A., Verkindre, C., Ramon, P. and Marquette, C.H. (1999) Tracheal Post-Intubation Stenosis. Journal of Respiratory Diseases, 16, 685-692.
[24]  Braidy, J., Breton, G. and Cltment, L. (1989) Effect of Corticosteroids on Post-Intubation Tracheal Stenosis. Thorax, 44, 753-755.
https://doi.org/10.1136/thx.44.9.753
[25]  Mehta, A.C., Lee, F.Y., Cordasco, E.M., Kirby, T., Eliachar, I. and De Boer, G. (1993) Concentric Tracheal and Subglottic Stenosis. Management Using the Nd-YAG Laser for Mucosal Sparing followed by Gentle Dilation. Chest, 104, 673-677.
https://doi.org/10.1378/chest.104.3.673
[26]  Lasalle, X. and Fishler, M. (1990) Anesthesia and Tracheal Stenosis. Anesthesia in Surgery Thoracic. JEPU, 53-56.
[27]  Menard, M., Laccourreye, O. and Brasnu, D. (2002) Surgery for Laryngotracheal Stenosis in Adults. Encyclopédie Médico-Chirurgicale (Scientific and Medical Editions), Surgical Techniques—Head and Neck, 46, 1-15.
[28]  Wurtz, A., de Wolf, J., Fayoux, P., Kipnis, E. and Copin, M.C. (2016) Benefit/Risk Ratio of Extended Circumferential Tracheal Replacement. E-Memoirs of the National Academy of Surgery, 15, 63-68.
[29]  Schultz, P., Vautier, D., Dupret-Bories, A., Debry, C. and Charpiot, A. (2009) Replacement of Trachea by Surgical Reconstructions: Current State of Research. Annals of Otolaryngology and Cervicofacial Surgery, 126, 272-277.
https://doi.org/10.1016/j.aorl.2009.10.003
[30]  Martinod, E., Seguin, A., Radu, D., Marquette, C.H. and Carpentier, A. (2010) Advances in Tracheal Surgery: Have We Finally Found the Ideal Substitute for the Trachea? Journal of Respiratory Diseases, 27, 554-564.
https://doi.org/10.1016/j.rmr.2010.04.001

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