XXXX Following Airway Reconstruction in Adults.

@entity1 @entity1697 @entity7502 @entity5274 @entity86 @entity1282
Importance: @entity1 who undergo open airway reconstruction procedures are likely to experience some degree of @entity86 and delayed @entity1697 . Objective: To review the duration of @entity86 and outcomes in a group of adult @entity1 . Design, Setting, and @entity1 : Retrospective review of the medical records of adult @entity1 undergoing laryngotracheoplasty, posterior cricoid split laryngoplasty, tracheal resection, and cricotracheal resection in a tertiary hospital between July 2009 and September 2014. Exposures: Laryngotracheoplasty, posterior cricoid split laryngoplasty, tracheal resection, and cricotracheal resection. Main Outcomes and Measures: Demographic characteristics, etiology of airway stenosis, surgical procedure, stent type, and duration of @entity1282 symptoms. Results: Thirty-eight @entity1 (14 @entity1 , 24 @entity1 ; mean [SD; range] age, 48 [14.4; 20-80] years) fitting the inclusion criteria were identified. Twenty-four (63%) @entity1 had laryngotracheal stenosis secondary to prolonged intubation, with 3 (8%), 5 (13%), and 6 (16%) cases being due to autoimmune, idiopathic, or other etiology, respectively. Twenty-five (66%) @entity1 underwent tracheal or cricotracheal resection, and 13 (34%) underwent laryngotracheoplasty or posterior cricoid split laryngoplasty. Of the 17 @entity1 with stents placed, 6 (35%) @entity1 had a suprastomal stent sewn at the top with a @entity7502 suture using a horizontal mattress technique, 6 (35%) @entity1 had a suprastomal stent capped with an extended Silastic thoracic T-tube segment, and 5 (29%) @entity1 had either @entity5274 or hood bronchial stent. Eight of 17 @entity1 used a nasogastric feeding tube while the stent was in place (up to 5 weeks). All @entity1 returned to their preoperative diet. The mean (SD) duration of @entity1282 symptoms in all @entity1 (both those without a stent and following stent removal) was 8 (27.2) days (median, 1.5 days). The mean (SD) duration of @entity1282 symptoms in @entity1 who did not have a stent placed was 4.8 (5.3) days (median, 4 days). Conclusions and Relevance: In this study of adults who underwent open airway reconstruction, all returned to their preoperative diet, but those without stents had a shorter duration of @entity1282 symptoms than those with stents. Approximately half as many @entity1 with a stent had a prolonged course with @entity1282 symptoms compared with those without a stent.
