• Cengiz Özdemir, Celalettin I Kocatürk, Sinem Nedime Sökücü, Bugra Celal Sezen, Ali Cevat Kutluk, Salih Bilen, and Levent Dalar.
• Department of Pulmonology, Yedikule Chest Diseases and Surgery Training and Research Hospital, Istanbul, Turkey.
• Ann Thorac Cardiovasc Surg. 2018 Dec 20; 24 (6): 288-295.

PurposeSurgical resection and reconstruction are considered the most appropriate approaches to treat post-intubation tracheal stenosis (PITS). Bronchoscopic methods can be utilized as palliative therapy in patients who are ineligible for surgical treatment or who develop post-surgical re-stenosis. We investigated treatment outcomes in patients with benign tracheal stenosis.MethodsA retrospective review was performed in patients who were diagnosed with PITS. Tracheal resection was performed for operable cases, whereas endoscopic interventions were preferred for inoperable cases with a complex or simple stenosis.ResultsIn total, 42 patients (23 treated by bronchoscopic methods, 19 treated by surgery) took part in this study. No significant differences were observed in segment length, the proportion of obstructed airways, or vocal cord distance between the two groups. In all, 15 patients in the bronchoscopic treatment group received a stent. Following the intervention, the cure rates in the bronchoscopic and surgical treatment groups were 43.47% and 94.7%, respectively. A multidisciplinary approach resulted in a cure or satisfactory outcome in 90.5% of the patients while failure was noted in 9.5% of the patients.ConclusionBronchoscopic methods are associated with a lower cure rate compared to surgery. A multidisciplinary approach was helpful for treatment planning in patients with PITS.

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