{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T00:07:52Z","timestamp":1721002072366},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pneumologie"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Einleitung\u2002Zervikale Tracheastenosen als Folge von Tracheotomien oder Tumoren sowie idiopathischer Genese k\u00f6nnen in der Regel durch eine Tracheaquerresektion unterhalb des Ringknorpels dauerhaft geheilt werden. Im Falle einer Beteiligung des Ringknorpels erh\u00f6hen sich die Komplexit\u00e4t und das Risiko des Eingriffs. Wir berichten \u00fcber die Technik der laryngotrachealen Resektion und Rekonstruktion und vergleichen in unserem eigenen Patientengut die Ergebnisse der zervikalen Tracheaquerresektion und der laryngotrachealen Resektion in Bezug auf ihre perioperativen Ergebnisse.<\/jats:p><jats:p>Patienten und Methode\u2002In unserer Klinik wurden im Zeitraum von 01\/2005 bis 12\/2015 \u00fcber 800 Tracheaeingriffe durchgef\u00fchrt. Davon waren 111 zervikale Trachearesektionen mit 76 Tracheaquerresektionen und 35 laryngotracheale Resektionen. Die Resektion erfolgte immer mit prim\u00e4rer Anastomose ohne Anlage eines intraoperativen Tracheostomas oder einer intralaryngealen Schiene. Die perioperativen Daten wurden retrospektiv aus den Patientenakten erhoben.<\/jats:p><jats:p>Ergebnisse\u2002Bei der Indikationsstellung \u00fcberwiegt in beiden Gruppen die Stenose oder Defektbildung nach Tracheotomie, gefolgt von idiopathischer Stenose, Tumoren und Morbus Wegener. Es traten keine Wundheilungsst\u00f6rungen an der Anastomose auf. Postoperative Tracheotomien waren mit 3 bzw. 2 Eingriffen nach Tracheaquer- bzw. laryngotrachealer Resektion selten notwendig. Pulmonale Komplikationen und die N. recurrens-Parese waren mit 5\/4 und 2\/2 F\u00e4llen in beiden Gruppen \u00e4hnlich h\u00e4ufig. Kein Patient musste mit einem definitiven Tracheostoma weiterleben. Es verstarb jeweils ein Patient im postoperativen Verlauf. Somit ergab sich kein signifikanter Unterschied in der Komplikationsrate zwischen den beiden Gruppen.<\/jats:p><jats:p>Schlussfolgerung\u2002Die laryngotracheale Resektion ist ein relevanter Bestandteil der zervikalen Trachearesektion. Sie kann ohne signifikant erh\u00f6hte Morbidit\u00e4t durchgef\u00fchrt werden und erh\u00e4lt so die pulmonale und Stimmfunktion des Patienten auch bei komplexen Stenosen mit Beteiligung des unteren Kehlkopfes.<\/jats:p>","DOI":"10.1055\/a-0809-0232","type":"journal-article","created":{"date-parts":[[2019,1,31]],"date-time":"2019-01-31T23:42:28Z","timestamp":1548978148000},"page":"211-218","source":"Crossref","is-referenced-by-count":3,"title":["Die laryngotracheale Resektion als Alternative zum permanenten Tracheostoma"],"prefix":"10.1055","volume":"73","author":[{"given":"A.","family":"Aleksanyan","sequence":"additional","affiliation":[{"name":"Lungenklinik K\u00f6ln-Merheim, Lehrstuhl f\u00fcr Thoraxchirurgie, Kliniken der Stadt K\u00f6ln gGmbH, private Universit\u00e4t Witten\/Herdecke, K\u00f6ln"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Stoelben","sequence":"additional","affiliation":[{"name":"Lungenklinik K\u00f6ln-Merheim, Lehrstuhl f\u00fcr Thoraxchirurgie, Kliniken der Stadt K\u00f6ln gGmbH, private Universit\u00e4t Witten\/Herdecke, K\u00f6ln"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,1,31]]},"reference":[{"key":"ref1","first-page":"27","article-title":"Die prophylaktische Resektion der Trachea","volume":"26","author":"T Gl\u00fcck","year":"1881","journal-title":"Arch Klin Chir"},{"key":"ref2","first-page":"150","article-title":"Die Resektion der Trachea","volume":"40","author":"F Colley","year":"1885","journal-title":"Deutsche Ztschr Chir"},{"key":"ref3","first-page":"335","article-title":"[Reduction of Tracheotomy Associated Tracheal Stenosis by Surgical Closure of the Tracheostomy]","volume":"69","author":"A Lopez-Pastorini","year":"2015","journal-title":"Pneumologie"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/S0003-4975(10)66536-8","article-title":"Tracheal stenosis as a complication of tracheostomy","volume":"2","author":"D A Murphy","year":"1966","journal-title":"Ann Thorac Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/0002-9343(81)90413-7","article-title":"Complications and consequences of endotracheal intubation and tracheotomy. 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