Tubeless tracheal resection and reconstruction for management of benign stenosis. Issue 12 (27th September 2017)

• Record Type: Journal Article
• Authors: Caronia, Francesco Paolo; Loizzi, Domenico; Nicolosi, Tommaso; Castorina, Sergio; Fiorelli, Alfonso
• Is Part Of: Head & neck. Volume 39:Issue 12(2017)
• Page Start: E114
• Page End: E117
• Publication Date: 2017-09-27
• Subjects: awake anesthesia -- benign stenosis -- surgery -- trachea; Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.24942
• Languages: English
• ISSNs: 1043-3074

Abstract

Abstract: Background: We reported a tubeless tracheal resection and reconstruction for the management of benign posttracheostomy tracheal stenosis. Methods: A 34‐year‐old man with stridor, severe respiratory distress, and recurrent pneumonia was referred to our attention for treatment of benign posttracheostomy tracheal stenosis. As he refused general anesthesia, the procedure was performed while he was under local anesthesia and spontaneous ventilation. Results: Sedation was started with infusion of dexmedetomidine 0.7 mg/kg/min and of remifentanil 0.5 mg/kg/h; also, 40%‐50% oxygen was delivered using a laryngeal mask at a rate of 3.5 mL/min. An additional dose of 2% lidocaine was injected into the surgical site during the operation to achieve an adequate level of anesthesia. A standard resection and reconstruction of trachea was carried out and no recurrence was found in the follow‐up of 41 months. Conclusion: Tubeless tracheal surgery seems to be a feasible and safe procedure. Larger prospective series should validate our results.