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Use of Silicon T-Tube for Subglottic Stenosis and Tracheal Stenosis

INTRODUCTION: The management of subglottic and tracheal stenosis is challenging for any ENT surgeon. The treatment choice depends on the site, severity of stenosis, patient symptoms, and surgeon preferences. The various options for the management include endoscopic balloon dilatation, various types...

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Autores principales: Ramesh, Chethana, Dehadaray, Arun, Kaushik, Maitri, Mishra, Prasun, Sidhu, Simran
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mashhad University of Medical Sciences 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10209816/
https://www.ncbi.nlm.nih.gov/pubmed/37251296
http://dx.doi.org/10.22038/IJORL.2023.67492.3308
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author Ramesh, Chethana
Dehadaray, Arun
Kaushik, Maitri
Mishra, Prasun
Sidhu, Simran
author_facet Ramesh, Chethana
Dehadaray, Arun
Kaushik, Maitri
Mishra, Prasun
Sidhu, Simran
author_sort Ramesh, Chethana
collection PubMed
description INTRODUCTION: The management of subglottic and tracheal stenosis is challenging for any ENT surgeon. The treatment choice depends on the site, severity of stenosis, patient symptoms, and surgeon preferences. The various options for the management include endoscopic balloon dilatation, various types of laryngotracheoplasty, resection anastomosis, and insertion of a silicon T-tube. Compared to the above, silicon T-tube stenting is a better alternative, as it is a onetime procedure, easy to perform with fewer chances of complications. Shiann Yann lee technique is a form of laryngotracheoplasty with long-term stenting using silicon T-tube. This article analyzed our silicon T-Tube insertion result in patients with subglottic and tracheal stenosis using this technique. MATERIALS AND METHODS: In this retrospective study, we included a total of 21 patients with subglottic and tracheal stenosis who underwent silicon T-Tube insertion. Data regarding the site of stenosis, procedure, complications, and outcome were analyzed. RESULTS: Out of 21 patients, nine patients had subglottic stenosis (42.8%), 8 had cervical tracheal stenosis (38.09%), 3 had thoracic tracheal stenosis (14.28%), and 1 (4.7%) had combined subglottic and cervical tracheal stenosis. Out of 21 patients,7 (33.3%) have undergone successful removal of silicon T-Tube so far, one death due to medical reasons, and 13 patients (61.9%) are still on Silicon tube on regular follow-up. They are comfortable with the tube in situ. CONCLUSIONS: Silicon T-Tube for benign acquired laryngotracheal stenosis with Shiann Yann Lee's technique is effective, safe with less complication, and good acceptability and tolerance by the patient.
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spelling pubmed-102098162023-05-26 Use of Silicon T-Tube for Subglottic Stenosis and Tracheal Stenosis Ramesh, Chethana Dehadaray, Arun Kaushik, Maitri Mishra, Prasun Sidhu, Simran Iran J Otorhinolaryngol Original Article INTRODUCTION: The management of subglottic and tracheal stenosis is challenging for any ENT surgeon. The treatment choice depends on the site, severity of stenosis, patient symptoms, and surgeon preferences. The various options for the management include endoscopic balloon dilatation, various types of laryngotracheoplasty, resection anastomosis, and insertion of a silicon T-tube. Compared to the above, silicon T-tube stenting is a better alternative, as it is a onetime procedure, easy to perform with fewer chances of complications. Shiann Yann lee technique is a form of laryngotracheoplasty with long-term stenting using silicon T-tube. This article analyzed our silicon T-Tube insertion result in patients with subglottic and tracheal stenosis using this technique. MATERIALS AND METHODS: In this retrospective study, we included a total of 21 patients with subglottic and tracheal stenosis who underwent silicon T-Tube insertion. Data regarding the site of stenosis, procedure, complications, and outcome were analyzed. RESULTS: Out of 21 patients, nine patients had subglottic stenosis (42.8%), 8 had cervical tracheal stenosis (38.09%), 3 had thoracic tracheal stenosis (14.28%), and 1 (4.7%) had combined subglottic and cervical tracheal stenosis. Out of 21 patients,7 (33.3%) have undergone successful removal of silicon T-Tube so far, one death due to medical reasons, and 13 patients (61.9%) are still on Silicon tube on regular follow-up. They are comfortable with the tube in situ. CONCLUSIONS: Silicon T-Tube for benign acquired laryngotracheal stenosis with Shiann Yann Lee's technique is effective, safe with less complication, and good acceptability and tolerance by the patient. Mashhad University of Medical Sciences 2023-05 /pmc/articles/PMC10209816/ /pubmed/37251296 http://dx.doi.org/10.22038/IJORL.2023.67492.3308 Text en https://creativecommons.org/licenses/by/3.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/ (https://creativecommons.org/licenses/by/3.0/) ) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Ramesh, Chethana
Dehadaray, Arun
Kaushik, Maitri
Mishra, Prasun
Sidhu, Simran
Use of Silicon T-Tube for Subglottic Stenosis and Tracheal Stenosis
title Use of Silicon T-Tube for Subglottic Stenosis and Tracheal Stenosis
title_full Use of Silicon T-Tube for Subglottic Stenosis and Tracheal Stenosis
title_fullStr Use of Silicon T-Tube for Subglottic Stenosis and Tracheal Stenosis
title_full_unstemmed Use of Silicon T-Tube for Subglottic Stenosis and Tracheal Stenosis
title_short Use of Silicon T-Tube for Subglottic Stenosis and Tracheal Stenosis
title_sort use of silicon t-tube for subglottic stenosis and tracheal stenosis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10209816/
https://www.ncbi.nlm.nih.gov/pubmed/37251296
http://dx.doi.org/10.22038/IJORL.2023.67492.3308
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