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Kirasirova E.A.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

Lafutkina N.V.

Research Clinical Institute of Otorhinolaryngology Named After L.I. Sverzhevsky

Mamedov R.F.

Research Clinical Institute of Otorhinolaryngology Named After L.I. Sverzhevsky

Rezakov R.A.

Research Clinical Institute of Otorhinolaryngology Named After L.I. Sverzhevsky

Usova M.I.

Research Clinical Institute of Otorhinolaryngology Named After L.I. Sverzhevsky

To optimize the management of patients after tracheostomy and reconstructive operations on larynx and trachea

Authors:

Kirasirova E.A., Lafutkina N.V., Mamedov R.F., Rezakov R.A., Usova M.I.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2021;86(4): 36‑40

DOI: 10.17116/otorino20218604136

Views: 1519

Downloaded: 70

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Table of contents

To cite this article:

Kirasirova EA, Lafutkina NV, Mamedov RF, Rezakov RA, Usova MI. To optimize the management of patients after tracheostomy and reconstructive operations on larynx and trachea. Russian Bulletin of Otorhinolaryngology. 2021;86(4):36‑40. (In Russ.)
https://doi.org/10.17116/otorino20218604136

Подписка 2025 (Russian Bulletin of Otorhinolaryngology)
 
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The relevance of the study is due to the need to improve the methods of managing patients after reconstructive surgery on the larynx and trachea.

OBJECTIVES

To optimize the management of wounds after tracheostomy and/or reconstuctive operations on larynx and trachea on the basis of use of modern dressings in the inpatient and outpatient settings.

MATERIAL AND METHODS

The patients were divided into two: group I tracheostomy after reconstructive operations on the larynx and trachea. The postoperative area was ligated with drugs based on sodium alginate. Tracheostomy of group II patients was carried out according to the standard technique.

RESULTS

In the first group of patients, postoperative wounds healed by primary intention on the 5—6th day after the operation in patients with bilateral paralysis of the larynx and on the 8—10th day in patients with chronic cicatricial stenosis of the larynx and trachea. In group II, postoperative wounds in the tracheostomy foramen area healed on day 7 in patients with bilateral paralysis of the larynx and on days 10—14 in patients with chronic cicatricial stenosis of the larynx and trachea.

CONCLUSIONS

The Proposed algorithm for the management of patients after reconstructive operations on the larynx and trachea, of tracheostomy have improved clinical outcomes after surgery and to reduce the economic costs for this group of patients.

Keywords:

dressing material
chronic wounds
tracheostomy
stenosis of the larynx and trachea
laryngeal tracheal reconstruction

Authors:

Kirasirova E.A.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

Lafutkina N.V.

Research Clinical Institute of Otorhinolaryngology Named After L.I. Sverzhevsky

Mamedov R.F.

Research Clinical Institute of Otorhinolaryngology Named After L.I. Sverzhevsky

Rezakov R.A.

Research Clinical Institute of Otorhinolaryngology Named After L.I. Sverzhevsky

Usova M.I.

Research Clinical Institute of Otorhinolaryngology Named After L.I. Sverzhevsky

Received:

29.04.2020

Accepted:

20.06.2021

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