MULTI-STAGE OPERATIONS IN SURGERY OF CICATRICIAL STENOSES OF THE TRACHEA

Abstract

Aim. Improving the results of treatment of patients with persistent defects of the anterior wall of the trachea and soft tissues of the neck.

Materials and methods. 260 patients with tracheal cicatrical stenosis were treated, of which 130 patients had defects of the anterior wall of the trachea of various sizes. All patients underwent mandatory endoscopic and MSCT examinations.

Results. According to the nature of the elimination of the defect of the anterior wall of the trachea, patients were divided into several groups. Circular resection of the trachea with the elimination of the defect was applied in 5 cases. In 2 cases, in the presence of an extensive persistent defect with a size of more than 6 cm, a complex-composite pre-fabricated delto-pectoral skin-fascial-cartilaginous flap was used.

Conclusion. The choice of a method for eliminating a persistent open defect of the anterior wall of the trachea is determined individually in each case, it depends on its size, the depth of the airway lumen, and the condition of the surrounding tissues. The use of displaced skin-fascial flaps on the vascular pedicle to close the tracheal defect allows you to restore the mucous membrane of the tracheal defect area without using the surrounding scar tissue and close the defect with a second flap without stretching the edges of the wound.