caa a22 4500 606182942 CHVBK 20210128100818.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s00405-015-3575-z doi (NATIONALLICENCE)springer-10.1007/s00405-015-3575-z Predicting outcome in tracheal and cricotracheal segmental resection [Elektronische Daten] [Gabriel Nakache, A. Primov-Fever, E. Alon, M. Wolf] The aim of this study was to analyze prognostic factors of successful tracheal and cricotracheal segmental resection (TR/CTR), the type of revisions performed in cases of failure, and the outcome of revisions. The study is designed as case series with chart review. Between 1995 and 2011, 122 adult patients underwent TR/CTR. Forty-six patients (38%) had concomitant airway pathologies and 59 patients (48%) failed previous interventions. Forty-six patients (38%) were aphonic with a complete obstruction. Cricotracheal, tracheotracheal, and thyrotracheal anastomosis was performed in 78 (64%), 24 (20%) and 20 (16%) patients, respectively. Subglottic involvement, higher grade of obstruction, preoperative tracheostomy, presence of any concomitant airway pathology and impaired vocal cord movement were all associated with poorer outcome. Initially, 85 patients (68%) achieved primary goal with no need for further intervention. Thirty-six patients underwent one or more revision surgeries (laser, dilatation, tracheostomy, stent or T-tube, laryngoplasty, segmental resection, posterior cordotomy) with a success rate of 69%. Overall success rate, after revisions, was 88.5%. Segmental tracheal resection for tracheal stenosis is highly successful in non-tracheotomized, cricoid sparing incomplete tracheal stenosis patients, without secondary airway pathologies. Initial failures of TR/CTR can be managed with revision surgery. Springer-Verlag Berlin Heidelberg, 2015 Tracheal stenosis nationallicence Tracheal resection nationallicence Segmental resection nationallicence Cricotracheal resection nationallicence Revision surgery nationallicence Nakache Gabriel Department of Otolaryngology, Head and Neck Surgery, The Sheba Medical Center, 2 Sheba Rd, Tel Hashomer, Ramat Gan, Israel aut Primov-Fever A. Department of Otolaryngology, Head and Neck Surgery, The Sheba Medical Center, 2 Sheba Rd, Tel Hashomer, Ramat Gan, Israel aut Alon E. Department of Otolaryngology, Head and Neck Surgery, The Sheba Medical Center, 2 Sheba Rd, Tel Hashomer, Ramat Gan, Israel aut Wolf M. Department of Otolaryngology, Head and Neck Surgery, The Sheba Medical Center, 2 Sheba Rd, Tel Hashomer, Ramat Gan, Israel aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/6(2015-06-01), 1471-1475 0937-4477 272:6<1471 2015 272 405 https://doi.org/10.1007/s00405-015-3575-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-015-3575-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nakache Gabriel Department of Otolaryngology, Head and Neck Surgery, The Sheba Medical Center, 2 Sheba Rd, Tel Hashomer, Ramat Gan, Israel aut NATIONALLICENCE 700 1- Primov-Fever A. Department of Otolaryngology, Head and Neck Surgery, The Sheba Medical Center, 2 Sheba Rd, Tel Hashomer, Ramat Gan, Israel aut NATIONALLICENCE 700 1- Alon E. Department of Otolaryngology, Head and Neck Surgery, The Sheba Medical Center, 2 Sheba Rd, Tel Hashomer, Ramat Gan, Israel aut NATIONALLICENCE 700 1- Wolf M. Department of Otolaryngology, Head and Neck Surgery, The Sheba Medical Center, 2 Sheba Rd, Tel Hashomer, Ramat Gan, Israel aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/6(2015-06-01), 1471-1475 0937-4477 272:6<1471 2015 272 405