外傷性こう頭けい部気管狭さく症例の手術経験
An Experience of Reconstruction of Traumatic Laryngotracheal Stenosis

Hisaki Saito, Jiro Hozawa, Isao Mori, Keiji Fukuoka, Izuru Nozawa, Toshio Kamimura, Shin-ichi Usami
1983 Nihon Kikan Shokudoka Gakkai Kaiho  
For the recent 5 years, reconstructive operations were performed in nine patients of traumatic laryngotracheal stenosis in our clinic. The stenosis of three patients was caused by cervical blunt trauma, and that of six patients was formed after tracheostomy. The sites of stenosis were the glottic area (2 cases), the area from glottis to trachea (2 cases), the transglottic area (1 case), and the trachea (4 cases). For treatment of the stenosis, the reconstructive operation of open method was
more » ... ormed in 3 cases and the operation of semiclosed method in 2 cases. The remainders were treated by the conservative manipulation. Silicone T-tube was used as a stent in 7 cases following the reconstructive operation. In two patients treated by the open method, a composite graft of the nasal septum was used to repair the anterior defect of the laryngeal or tracheal airway. In two patients the cervical trauma was accompanied with foreign bodies , which could be extirpated by the open method under the X-ray fluoroscope . By the above-mentioned operations, the decanulation from tracheostoma succeeded in all cases with the exception of one patient who is in a short time after the operation .
doi:10.2468/jbes.34.260 fatcat:w4srjjoutffzficiswn77t5ov4