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Objective <p>Postintubation tracheal stenosis (PITS) results from ischemic damage and granulation tissue formation due to prolonged high cuff pressure. Surgical resection and reconstruction is the gold standard treatment, with success rates exceeding 94%. Tritube with flow-controlled ventilation (FCV) offers advantages such as a better surgical field, uninterrupted ventilation, and reduced contamination risk. Traditionally, crossfield intubation has been the standard approach worldwide. This study aims to compare the short-term surgical outcomes of Tritube FCV and crossfield intubation in PITS patients.</p> Methods <p>This retrospective study included 131 patients who underwent surgery for PITS between 2015 and 2025. Tritube FCV was used in 22 patients (Group 1), while crossfield intubation was used in 109 patients (Group 2).</p> Results <p>Mean age and gender distribution were similar between groups. Group 1 had significantly more comorbidities (<i>p</i> = 0.005). Surgery duration, hospital stay, and incision type showed no significant differences. The resected segment was longer in Group 1, though not statistically significant (<i>p</i> = 0.073). Continuous suture technique was more commonly used in Group 1 (<i>p</i> &lt; 0.001). Rates of restenosis and postoperative complications were similar. Overall survival was significantly better in the Tritube FCV group (<i>p</i> = 0.004).</p> Conclusions <p>Despite having more preoperative risk factors, patients in the Tritube FCV group had comparable surgical outcomes and significantly better overall survival. Tritube FCV appears to be a safe and effective alternative, even in high-risk PITS patients.</p>

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Short-term surgical outcomes of tritube flow-controlled ventilation versus crossfield ıntubation ın patients undergoing surgery for postintubation tracheal stenosis

  • 期刊论文

  • 发表日期：

    2025年11月13日

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  • Mustafa Vedat Doğru,
  • Gizem Özçıbık Işık,
  • Ezgi Nilay Yağcı Kazanasmaz,
  • Demet Turan,
  • Merih Dilan Albayrak,
  • Tuğçe Barça Şeker,
  • Mehmet Ali Bedirhan,
  • Celal Buğra Sezen,
  • Özkan Saydam

摘要

Objective

Postintubation tracheal stenosis (PITS) results from ischemic damage and granulation tissue formation due to prolonged high cuff pressure. Surgical resection and reconstruction is the gold standard treatment, with success rates exceeding 94%. Tritube with flow-controlled ventilation (FCV) offers advantages such as a better surgical field, uninterrupted ventilation, and reduced contamination risk. Traditionally, crossfield intubation has been the standard approach worldwide. This study aims to compare the short-term surgical outcomes of Tritube FCV and crossfield intubation in PITS patients.

Methods

This retrospective study included 131 patients who underwent surgery for PITS between 2015 and 2025. Tritube FCV was used in 22 patients (Group 1), while crossfield intubation was used in 109 patients (Group 2).

Results

Mean age and gender distribution were similar between groups. Group 1 had significantly more comorbidities (p = 0.005). Surgery duration, hospital stay, and incision type showed no significant differences. The resected segment was longer in Group 1, though not statistically significant (p = 0.073). Continuous suture technique was more commonly used in Group 1 (p < 0.001). Rates of restenosis and postoperative complications were similar. Overall survival was significantly better in the Tritube FCV group (p = 0.004).

Conclusions

Despite having more preoperative risk factors, patients in the Tritube FCV group had comparable surgical outcomes and significantly better overall survival. Tritube FCV appears to be a safe and effective alternative, even in high-risk PITS patients.