Technical aspects and outcomes of tracheobronchoplasty for severe XXXX .

@entity1 @entity37796 @entity10485 @entity1353 @entity2488 @entity565 @entity7502 @entity1151 @entity358 @entity1729 @entity955 @entity1030 @entity401 @entity1576
BACKGROUND: @entity10485 is an underrecognized cause of @entity1353 , recurrent @entity1729 , and cough. Surgical stabilization with posterior membranous tracheobronchoplasty has been shown to be effective in selected @entity1 with severe disease. This study examines the technical details and complications of this operation. METHODS: A prospectively maintained database of @entity10485 @entity1 was queried retrospectively to review all consecutive tracheobronchoplasties performed from October 2002 to June 2009. Posterior splinting was performed with @entity7502 mesh. @entity1 demographics, surgical outcomes, and operative data were reviewed. RESULTS: Sixty-three @entity1 underwent surgical correction of tracheal and bilateral @entity2488 . Twenty-three @entity1 had @entity1030 , 18 had @entity565 , 5 had @entity37796 , and 4 had @entity401 . Seven @entity1 had a previous tracheotomy. Operative time was 373    93 minutes. Median length of stay was 8 days (range, 4 to 92 days), of which 3 days (range, 0 to 91 days) were in intensive care. Seventy-five percent of @entity1 were discharged home (28% with visiting nurse follow-up), and 25% went to a rehabilitation facility. Two @entity1 (3.2%) died postoperatively-1 of worsening usual @entity401 , and the other of massive @entity1151 . Complications included a new @entity1729 in 14 @entity1 , @entity1151 in 2, and @entity955 in 6. Six @entity1 required reintubation, and 9 received a postoperative tracheotomy; 47 @entity1 required postoperative aspiration bronchoscopy. CONCLUSIONS: In experienced hands, tracheobronchoplasty can be performed with a very low mortality rate and an acceptable perioperative complications rate in @entity1 with significant @entity358 . Intervention for postoperative @entity1576 is often necessary.
