Subglottic-tracheal stenosis (STS) is a serious complication of tracheostoiny. This retrospective report sumnia-rizes our experience in the diagnosis and management of STS. Thirty patients with both surgical and percutaneous tracheostornies are included. All patients were managed endoscopically using a combination of Nd: YAG Laser Argon Plasma Coagulation, and electrocautery debridement. Patients with moderate and severe stenosis received multiple sessions of therapy. Twenty-eight out of thirty patients were successfully decannulated. Endoscopic management appears safe with no serious complications related to the procedures in this review. Potential risk factors for STS include tracheal ring damage during the tracheostomy, high positioned tracheostomy tube placement, and the presence of retained suture material (suture granuloma). The presence of granulation tissue and inflammation at the external stoma site appear to be a good bedside surrogate marker for STS.
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