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Table 2 Characteristics and management of tracheal stenosis

From: Tracheal stenosis in prolonged mechanically ventilated patients: prevalence, risk factors, and bronchoscopic management

Characteristics

Patients with tracheal stenosis (n = 114)

Type of stenosis

 

Localized granulation tissue formation

109 (95.6)

Concentric granulation tissue formation

5 (4.4)

Concentric scar stenosis

0 (0.0)

Fibrous web-like stenosis

0 (0.0)

Site of stenosis

 

Upper tracheal stenosis

100 (87.7)

Subglottic stenosis

14 (12.3)

Mid/lower tracheal stenosis

0 (0.0)

Severity of stenosis

 

% of lumen occlusion

 

 All patients

40 (25–50)

 Patients referred to bronchoscopy

50 (40–60)

 Patients with subglottic stenosis

60 (50–70)

Myer-Cotton Grading

 

 Grade 1 (< 50%)

66 (57.9)

 Grade 2 (50–69%)

33 (28.9)

 Grade 3 (70–99%)

13 (11.4)

 Grade 4 (100%)

2 (1.8)

Tracheal cartilage ring fracture

24 (21.1)

Cannulation duration (days)

37 (27–50)

Interventional Bronchoscopy

 

No. of patients referred to bronchoscopy

77

No. of endoscopic procedures

105

No. of procedures per patient

 

 ≥ 1 procedure

77 (80.2)

 ≥ 2 procedures

21 (21.9)

 = 3 procedures

7 (7.3)

Type of procedure

 

Nd:YAG Laser

98 (93.3)

Argon plasma coagulation

4 (3.8)

Forceps resection

3 (2.9)

Mechanical dilatation

0 (0.0)

Severity of stenosis

 

% of lumen occlusion post-intervention

10 (0–20)

Myer-Cotton Grading post-intervention

 

 Grade 1 (< 50%)

76 (98.7)

 Grade 2 (50–69%)

1 (1.3)

 Grade 3 (70–99%)

0 (0.0)

 Grade 4 (100%)

0 (0.0)

Laryngotracheal surgery

3 (2.6)

  1. Continuous variables are presented as median (– interquartile range [IQR]); categorical variables are presented as number or number (%)
  2. No./no., number