Back to Search
Start Over
Role of Primary Aetiology of Intubation in Acquired Laryngotracheal Stenosis: An Institutional Audit and Review of Literature
- Source :
- Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India. 74(Suppl 2)
- Publication Year :
- 2020
-
Abstract
- Aetiology of acquired laryngotracheal stenosis (ALTS) is complex and heterogenous. The aim of this study is to discuss the role of primary aetiology of intubation in the development and outcomes of Post intubation Laryngo tracheal stenosis (PILTS). A retrospective review of patients diagnosed and managed as PILTS from May 2008 to January 2017 was conducted. Demography, primary aetiology of intubation, grade of stenosis, length of the stenotic segment, treatment and outcomes of these patients were recorded and analysed. Based on aetiology of intubation, patients were divided into Poisoning (I), Neurogenic (II) and Rest of aetiologies (III) group respectively. Group I had 28/52 patients (53.8%) followed by group II, 15/52(28.8%) and group III, 9/52(17.3%) respectively. Organophosphorus compound poisoning (OPP) (44.2%) was the commonest cause overall followed by Brain injury (23.1%) and Acute Respiratory Distress Syndrome (ARDS) (11.5%). Trachea (46.15%) was the commonest subsite involved in this study. 24/28(85.7%) of patients had advanced (either grade 3 or 4) subglottic stenosis. The average length of stenotic segment in the study was 18.5 ± 9.2 mm (7–34 mm). 39/52(74.9%) of patients underwent open surgical approaches like cricotracheal resection and anastomosis, Laryngotracheal reconstruction or Shian-Yan Lee technique. 48/52(92.3%) patients were decannulated successfully. There was no significant association between primary etiology of intubation and outcomes. We conclude that OPP and neurological disease patients are more susceptible to airway injury. The authors emphasize that clinicians should be aware of these facts and manage these susceptible patients accordingly.
- Subjects :
- medicine.medical_specialty
ARDS
business.industry
Subglottic stenosis
medicine.medical_treatment
Anastomosis
medicine.disease
Tracheal Stenosis
Surgery
03 medical and health sciences
Stenosis
0302 clinical medicine
Otorhinolaryngology
030220 oncology & carcinogenesis
medicine
Etiology
Intubation
030223 otorhinolaryngology
business
Laryngotracheal stenosis
Subjects
Details
- ISSN :
- 22313796
- Volume :
- 74
- Issue :
- Suppl 2
- Database :
- OpenAIRE
- Journal :
- Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India
- Accession number :
- edsair.doi.dedup.....ef3b69eb12d151edf99559e627ed0afc