Background: Stenosis in the area of the cricotrachealsegment is still a challenging problem to be dealt with.Post-intubational cases mark an increase in recent yearsdue to the advances in intensive care, thoracic surgeryand neurosurgery departments.Case Report: This paper describes a case report ofa patient with severe subglottic stenosis (grade IIIaccording to the Cotton-Myer scale), introduces anew option in cricotracheal resections - postoperativetemporary non-cannulated tracheostomy and describesits advantages.Conclusion: This variation of classical operativetechniques provides additional fixation of the trachea,thus relieving any transitory tension on the anastomosis;acts as a valve and decreases the air-pressure in theupper airways during coughing and sneezing in the postoperativeperiod; and is an easy access point for videotracheoscopy of the anastomosis.
📌 3 Key Takeaways
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Objective & Hypothesis:Background: Stenosis in the area of the cricotrachealsegment is still a challenging problem to be dealt with.Post-intubational cases mark an increase in recent yearsdue to the advances in intensive care, thoracic surgeryand neurosurgery departments.Case Report: This paper describes a case report ofa patient with severe subglottic stenosis (grade IIIaccording to the Cotton-Myer scale), introduces anew option in cricotracheal resections - postoperativetemporary non-cannulated tracheostomy and describesits advantages.Conclusion: This variation of classical operativetechniques provides additional fixation of the trachea,thus relieving any transitory tension on the anastomosis;acts as a valve and decreases the air-pressure in theupper airways during coughing and sneezing in the postoperativeperiod; and is an easy access point for videotracheoscopy of the anastomosis.
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Key Findings & Data:Background: Stenosis in the area of the cricotrachealsegment is still a challenging problem to be dealt with.Post-intubational cases mark an increase in recent yearsdue to the advances in intensive care, thoracic surgeryand neurosurgery departments.Case Report: This paper describes a case report ofa patient with severe subglottic stenosis (grade IIIaccording to the Cotton-Myer scale), introduces anew option in cricotracheal resections - postoperativetemporary non-cannulated tracheostomy and describesits advantages.Conclusion: This variation of classical operativetechniques provides additional fixation of the trachea,thus relieving any transitory tension on the anastomosis;acts as a valve and decreases the air-pressure in theupper airways during coughing and sneezing in the postoperativeperiod; and is an easy access point for videotracheoscopy of the anastomosis.
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Conclusion & Impact:Background: Stenosis in the area of the cricotrachealsegment is still a challenging problem to be dealt with.Post-intubational cases mark an increase in recent yearsdue to the advances in intensive care, thoracic surgeryand neurosurgery departments.Case Report: This paper describes a case report ofa patient with severe subglottic stenosis (grade IIIaccording to the Cotton-Myer scale), introduces anew option in cricotracheal resections - postoperativetemporary non-cannulated tracheostomy and describesits advantages.Conclusion: This variation of classical operativetechniques provides additional fixation of the trachea,thus relieving any transitory tension on the anastomosis;acts as a valve and decreases the air-pressure in theupper airways during coughing and sneezing in the postoperativeperiod; and is an easy access point for videotracheoscopy of the anastomosis.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters
Abstract
Background: Stenosis in the area of the cricotrachealsegment is still a challenging problem to be dealt with.Post-intubational cases mark an increase in recent yearsdue to the advances in intensive care, thoracic surgeryand neurosurgery departments.Case Report: This paper describes a case report ofa patient with severe subglottic stenosis (grade IIIaccording to the Cotton-Myer scale), introduces anew option in cricotracheal resections - postoperativetemporary non-cannulated tracheostomy and describesits advantages.Conclusion: This variation of classical operativetechniques provides additional fixation of the trachea,thus relieving any transitory tension on the anastomosis;acts as a valve and decreases the air-pressure in theupper airways during coughing and sneezing in the postoperativeperiod; and is an easy access point for videotracheoscopy of the anastomosis.
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Cite This Article
POPOV, T. M., MARİNOV, T., RANGACHEV, J., KONOV, D., BELİTOVA, M. (2022). Cricotracheal Resection in a Patient with Severe Subglottic Stenosis - Advantages of a Temporary Non-Cannulated Tracheostomy. Balkan Medical Journal, Cilt: 34 - Sayı: 2, 82–84. https://ajindex.com/articles/461151
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