Aslı Gül AKGÜL, Hasan F.BATIREL, Mustafa YÜKSEL

Trakeal Patolojilerde Cerrahi

Üst hava yolu stenozu sıklıkla üst trakeal ve subglottik seviyelerdeki patolojiler ile ilişkilidir. Enflamatuvar stenoz, trakeal rezeksiyon ve rekonstrüksiyonların en sık endikasyonudur. Primer trakea tümörlerinin de primer rekonstrüksiyona uygun ise en ideal tedavisi rezeksiyon olmaktadır. Benign ve malign sebeplerle trakea cerrahisi uyguladığımız yaşları 24–50 arasında değişen 9 olgudan, postentübasyon trakeal stenoz tanısı olan 5'ine servikal insizyon ile, trakeal tümör tanılı 4 hastaya ise torakotomi yolu ile trakeal rezeksiyon ve uç-uca anastomoz başarılı şekilde uygulandı. Dikkatli preoperatif değerlendirmeyi takiben uygulanacak başarılı cerrahi teknik trakeal patolojilerin cerrahisinde tatmin edici sonuçları da beraberinde getirmektedir.

Anahtar Kelimeler:

Trakeal stenoz, cerrahi, anastomoz

Surgery for Tracheal Pathologies

Upper airway stenosis is usually associated with a complex of pathological conditions at the high tracheal and the subglottic levels. Inflammatory stenosis of the trachea remains the most common indication for tracheal resection and reconstruction. Primary tumors of the trachea are best treated by resection when primary reconstruction may be safely accomplished. Nine cases with ages between 24–50 were treated with surgery for benign and malign tracheal stenosis. Tracheal resection and end-to-end anastomosis were successfully performed to 5 cases with a diagnosis of postintubation stenosis via cervical approach and 4 cases with tracheal tumors via thoracotomy. Accurate preoperative assessment and preparation associated with a perfect surgical technique is mandatory to obtain good results for tracheal surgery.

Keywords:

Tracheal stenosis, surgery, anastomosis,

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