USE OF A Y-SHAPED SILICONE TUBE FOR CICATRICIAL STENOSIS OF THE LOWER THIRD OF THE TRACHEA (SUPRA-BIFURCATION REGION OF THE TRACHEA)

An original method for the treatment of cicatricial stenosis of the lower third of the trachea using a Y-shaped silicone tube has been developed. The method was tested on 11 patients. The effectiveness of the method was assessed by clinical, X-ray, endoscopic methods. The analysis of the results was carried out in order to study the immediate and long-term results and evaluate the effectiveness of using a Y-shaped silicone tube in cicatricial stenosis of the lower third of the trachea. The degree and extent of tracheal stenosis was assessed by tracheolaryngoscopy and spiral computed tomography. The length of cicatricial changes ranged from 1.5 to 3 cm. In all cases, endoscopic electro excision of cicatricial tracheal stenosis was used, followed by installation of a Y-shaped silicone tube.
It is shown that the method reliably prevents the growth of scar tissue in the lumen of the trachea.

1. Герасин В.А., Мосин И.В., Сангинов А.Б., Герасин А.В. Лечение рубцовых стенозов трахеи с применением силиконовых эндопротезов // Здравоохр. Таджикистана. - 2009. - № 3. - С. 15-20.

2. Яицкий Н.А., Мосин И.В., Герасин В.А. Лечение ларинготрахеальных рубцовых стенозов // Вестн. хир. - 2008. - № 6. - С. 66 - 71.

3. Grillo H.C., Mathisen D.J., Wain J.C. Laryngotracheal resection and reconstruction for subglottic stenosis // Ann. Thorac. Surg. - 1992. - Vol. 153. - P. 54-63.

4. Н.А. Яицкий, В.А. Герасин, А.В. Герасин, А.А. Русанов Роль Эндоскопических Методов в лечении Рубцовых Стенозов Трахеи // Вопросы общей и частной хирургии. - 2012. - С. 11-15.

5. Паршин В.Д., Порханов В.А. Хирургия трахеи с атласом оперативной хирургии. -М.: Альди-Принт, 2010. - 480 с.

6. Русаков М.А., Паршин В.Д., Елезов А.А. Современные методы эндоскопического лечения рубцовых стенозов трахеи // Пробл. туб. и бол. легких. - 2006. - №3. - С. 11-17.

7. Роль эндоскопических методов в лечении рубцовых стенозов трахеи / Н.А. Яицкий [и др.] // Вестник хирургии им. И.И. Грекова. - 2012. - Т.171. - №3. - С. 11-15.