1999 Volume 21 Issue 2 Pages 102-107
We reported two cases of successful tracheal reconstruction for postintubation tracheal stenosis with paraplegia. One case, a 20-year-old woman, suffered cerebral and spinal cord injury in a traffic accident. She was on respiratory support with tracheostomy for two months. Mediastinal tracheal stenosis developed after healing of the tracheostomy. In the other case, a 64-year-old male, suffered paraplegia caused by cervical spinal injury in the traffic accident. He underwent cervical tracheostomy and respiratory support for one month. His cervical tracheal stenosis developed two months after closure of the tracheostomy. Both cases had poor grip and needed help to eat. Their spinal cord injury reached the 5th cervical spine. Both underwent primary end-to-end tracheal anastomosis. We had performed several laser ablations for tracheal stenosis in the first case. We could not eliminate her tracheal stenosis by laser ablation. After surgery, they did not have dyspnea. Their bronchoscopic examinations on discharge showed no anastomotic stenosis.