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The use of magnetic resonance imaging to assess tracheal stenosis following percutaneous dilatational tracheostomy

Published online by Cambridge University Press:  29 June 2007

Vincent Callanan ,
Kaie Gillmore ,
Stuart Field  and
Anthony Beaumont
Vincent Callanan*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Kent and Canterbury Hospital, Canterbury, Kent, UK.
Kaie Gillmore
Affiliation:
Department of Radiology, Kent and Canterbury Hospital, Canterbury, Kent, UK.
Stuart Field
Affiliation:
Department of Radiology, Kent and Canterbury Hospital, Canterbury, Kent, UK.
Anthony Beaumont
Affiliation:
Department of Anaesthesia, Kent and Canterbury Hospital, Canterbury, Kent, UK.
*
Address for correspodnence: Mr Vincent Callanan, F.R.C.S., F.R.C.S.I., ENT Surgery Specialist Registrar, Department of Otolaryngology, St Thomas' Hospital, London SE1 7EH.
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Abstract

The incidence of tracheal stenosis following conventional tracheostomy has been reported as lying between one and 30 per cent. Methods used to assess the degree of stenosis include CT scanning, fibreoptic visualization and plain X-ray tomographs. The aim of this study was to assess the degree of stenosis in patients following percutaneous dilatational tracheostomy (PDT) using MRI scanning. This method has not been reported in the literature previously. Nine patients without symptoms of tracheal stenosis were studied for at least six months following PDT performed in the intensive therapy unit. The tracheas were assessed for scarring and stenosis using a three dimensional volume scanning MRI technique. Although scarring could be detected in the wall of the trachea and subcutaneous tissues of all patients, tracheal stenosis was not demonstrated at the insertion site or at the site of the cuff (p>0.05). MRI scanning provides an excellent non-invasive method of assessing the tracheal lumen. Our patients who had undergone PDT do not appear to have any degree of post-operative stenosis.

Keywords

Tracheal stenosisTracheostomypercutaneousMagnetic resonance imaging
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 10 , October 1997 , pp. 953 - 957
Copyright
Copyright © JLO (1984) Limited 1997

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References

Callanan, V., Fitzgerald O'Connor, A. F. (1994) Adult and paediatric tracheostomy - technique, complications and alternatives. Current Practice in Surgery 6: 219–224.Google Scholar
Ciaglia, P., Firsching, R., Syniec, C. (1985) Elective percutaneous dilatational tracheostomy a new simple bedside procedure: preliminary report. Chest 87: 715–719.CrossRefGoogle ScholarPubMed
Ciaglia, P., Graniero, K. D. (1992) Percutaneous dilatational tracheostomy - results and long-term follow-up. Chest 101: 464–467.CrossRefGoogle ScholarPubMed
Fisher, E. W., Howard, D. (1992) Percutaneous tracheostomy in a head and neck unit. Journal of Laryngology and Otology 106: 625–627.CrossRefGoogle Scholar
Friedman, Y., Mayer, A. D. (1993) Bedside percutaneous tracheostomy in critically ill patients. Chest 104(2): 532–535.CrossRefGoogle ScholarPubMed
Friman, L., Hedenstierna, G., Schildt, B. (1976) Stenosis following tracheostomy, a quantitative study of long term results. Anaesthesia 31: 479–493.CrossRefGoogle ScholarPubMed
Goldman, J. L., Blaugrund, S. M., Friedman, W. H. (1983) Tracheostomy. In Plastic and Reconstructive Surgery of the Head and Neck, (English, G. M., ed.) Vol. 4, Otolaryngology. Harper and Row, Hagerstown, Maryland, 1.Google Scholar
Jackson, C. (1921) High tracheotomy and other errors, the chief causes of chronic laryngeal stenosis. Surgery Gynecology and Obstetrics 32: 392–398.Google Scholar
McFarlane, C., Denholm, S. W., Sudlow, C. L., Moralee, S. J., Grant, I. S., Lee, A. (1994) Laryngotracheal stenosis: a serious complication of percutaneous tracheostomy. Anaesthesia 49: 38–40.CrossRefGoogle ScholarPubMed
Myers, N. E., Stool, S. E. (1985) Complications of tracheotomy. In Tracheotomy (Myers, N. E., Stool, S. E., Johnson, J. T., eds.) Churchill Livingstone: New York, pp 147–171.Google Scholar
Whited, R. E. (1984) A prospective study of laryngotracheal sequelae in long-term intubation. Laryngoscope 94: 367–377.CrossRefGoogle ScholarPubMed
Wilson, R. C., Bodenham, A. R. (1993) Percutaneous tracheostomy. British Journal of Hospital Medicine 49: 123–126.Google ScholarPubMed