Comparison of Surgery and Stent Application in the Treatment of Tracheal Stenosis

Introduction: Tracheal stenosis is a pathology that is gradually increasing and requires intervention. Surgical treatment has been used as the gold standard for years, but it is difficult to decide on surgery in patients with comorbidities and high surgical risk. We aimed to evaluate the data of bot...

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Main Authors: Murat Yaşaroğlu, Özgür Güzey
Format: Article
Language:English
Published: Sakarya University 2024-09-01
Series:Sakarya Tıp Dergisi
Subjects:
Online Access:https://dergipark.org.tr/tr/download/article-file/3935300
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author Murat Yaşaroğlu
Özgür Güzey
author_facet Murat Yaşaroğlu
Özgür Güzey
author_sort Murat Yaşaroğlu
collection DOAJ
description Introduction: Tracheal stenosis is a pathology that is gradually increasing and requires intervention. Surgical treatment has been used as the gold standard for years, but it is difficult to decide on surgery in patients with comorbidities and high surgical risk. We aimed to evaluate the data of both treatment methods applied in our center. Materials: Our study was designed as retrospective and observational. The data of 61 patients who underwent resection & reconstruction and Methods or stent due to tracheal stenosis in our center between May 2002 - May 2019 were analyzed. Tracheal stenosis classifications, etiology, demography and treatment data, imaging measurements, and a satisfaction survey were used. Results: 53 patients who met the inclusion criteria were studied. Both treatment methods were found to be effective in reducing the stenosis and regressing the complaints. The average age in the stent group was higher than in the surgery group. As the intensive care period in the intubated state increases; Severe stenosis and deterioration of cartilage integrity increased. The satisfaction score of the surgery group was higher than the stent group. Conclusion: Both treatment methods are effective in improving respiratory functions and quality of life. The lesion was located higher in the surgical group and was longer in the stent group. Hospitalization times were longer in patients with severe stenosis and antibiotic changes were more frequent in patients using steroids. No statistically significant difference was found.
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spelling doaj-art-549af58334fa423d9d01da9c090fb9862025-08-20T02:27:54ZengSakarya UniversitySakarya Tıp Dergisi2146-409X2024-09-0114328228910.31832/smj.148519128Comparison of Surgery and Stent Application in the Treatment of Tracheal StenosisMurat Yaşaroğlu0https://orcid.org/0000-0001-9791-9387Özgür Güzey1https://orcid.org/0000-0001-9211-3835BAŞKENT ÜNİVERSİTESİSAKARYA ÜNİVERSİTESİ, TIP FAKÜLTESİIntroduction: Tracheal stenosis is a pathology that is gradually increasing and requires intervention. Surgical treatment has been used as the gold standard for years, but it is difficult to decide on surgery in patients with comorbidities and high surgical risk. We aimed to evaluate the data of both treatment methods applied in our center. Materials: Our study was designed as retrospective and observational. The data of 61 patients who underwent resection & reconstruction and Methods or stent due to tracheal stenosis in our center between May 2002 - May 2019 were analyzed. Tracheal stenosis classifications, etiology, demography and treatment data, imaging measurements, and a satisfaction survey were used. Results: 53 patients who met the inclusion criteria were studied. Both treatment methods were found to be effective in reducing the stenosis and regressing the complaints. The average age in the stent group was higher than in the surgery group. As the intensive care period in the intubated state increases; Severe stenosis and deterioration of cartilage integrity increased. The satisfaction score of the surgery group was higher than the stent group. Conclusion: Both treatment methods are effective in improving respiratory functions and quality of life. The lesion was located higher in the surgical group and was longer in the stent group. Hospitalization times were longer in patients with severe stenosis and antibiotic changes were more frequent in patients using steroids. No statistically significant difference was found.https://dergipark.org.tr/tr/download/article-file/3935300tracheastenosisresectionreconstructionstent implantationtrakeadarlıkrezeksiyonrekonstrüksiyonstent uygulanması
spellingShingle Murat Yaşaroğlu
Özgür Güzey
Comparison of Surgery and Stent Application in the Treatment of Tracheal Stenosis
Sakarya Tıp Dergisi
trachea
stenosis
resection
reconstruction
stent implantation
trakea
darlık
rezeksiyon
rekonstrüksiyon
stent uygulanması
title Comparison of Surgery and Stent Application in the Treatment of Tracheal Stenosis
title_full Comparison of Surgery and Stent Application in the Treatment of Tracheal Stenosis
title_fullStr Comparison of Surgery and Stent Application in the Treatment of Tracheal Stenosis
title_full_unstemmed Comparison of Surgery and Stent Application in the Treatment of Tracheal Stenosis
title_short Comparison of Surgery and Stent Application in the Treatment of Tracheal Stenosis
title_sort comparison of surgery and stent application in the treatment of tracheal stenosis
topic trachea
stenosis
resection
reconstruction
stent implantation
trakea
darlık
rezeksiyon
rekonstrüksiyon
stent uygulanması
url https://dergipark.org.tr/tr/download/article-file/3935300
work_keys_str_mv AT muratyasaroglu comparisonofsurgeryandstentapplicationinthetreatmentoftrachealstenosis
AT ozgurguzey comparisonofsurgeryandstentapplicationinthetreatmentoftrachealstenosis