Subglottic Stenosis, Tracheal Stenosis
Conditions
Keywords
Slide tracheoplasty, Tracheal resection anastomosis
Brief summary
Aim of the Work To compare the clinical outcomes between patients will undergo slide tracheoplasty and those will undergo tracheal resection anastomosis for acquired tracheal stenosis.
Interventions
PROCEDURESlide tracheoplasty
Management of tracheal stenosis by slide tracheoplasty
PROCEDURETracheal resection anastomosis
Management of tracheal stenosis by tracheal resection anastomosis
Sponsors
Mansoura University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* All patients with grade III, IV acquired tracheal stenosis (e.g., due to trauma, prolonged intubation) regardless their age or sex. * Patient with symptomatic high grade II acquired laryngotracheal stenosis after failure of endoscopic interventions. * Clinical indications for surgical intervention (Symptoms of airway obstruction). * Feasible for surgical intervention.
Exclusion criteria
* congenital tracheal stenosis * Malignant stenosis. * Severe comorbidities that contraindicate the surgery. * Patients refusing to sign the consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Success Rate of Procedure | 3-6 months | Defined as the absence of stridor or the need for re-intervention within a defined follow-up period (3 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Complication Rates | 3 months | Evaluation of perioperative complications: * Immediate Complications: Airway obstruction, pneumothorax, anastomotic leak, or accidental injury to surrounding structures (e.g., RLN). * Delayed Complications: Stenosis, granulation tissue formation, tracheomalacia, or infection (e.g., mediastinitis). * Mortality Rate: Intraoperative and 30-day mortality rates |
| Duration of Hospital Stay | 3 months | Measured from the day of surgery to discharge |
| Time to Decannulation | 3 months | Time taken for patients to be successfully decannulated, which can be indicative of recovery and airway stability. |
Countries
Egypt
Contacts
Primary ContactEslam Hamed Abdou, Assistant lecturer
Backup ContactAhmed Elsobki, Associated professor
Outcome results
None listed