About this trial
Aim of the Work To compare the clinical outcomes between patients will undergo slide tracheoplasty and those will undergo tracheal resection anastomosis for acquired tracheal stenosis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
All patients with grade III, IV acquired tracheal stenosis (e.g., due to trauma, prolonged intubation) regardless their age or sex.
Patient with symptomatic high grade II acquired laryngotracheal stenosis after failure of endoscopic interventions.
Clinical indications for surgical intervention (Symptoms of airway obstruction).
Feasible for surgical intervention.
Disqualifiers
congenital tracheal stenosis
Malignant stenosis.
Severe comorbidities that contraindicate the surgery.
Patients refusing to sign the consent.
Trial design
Parallel
Treatments tested in this trial
Slide tracheoplasty
Procedure/SurgeryManagement of tracheal stenosis by slide tracheoplasty
Tracheal resection anastomosis
Procedure/SurgeryManagement of tracheal stenosis by tracheal resection anastomosis
Treatment groups
Trial outcomes
Primary outcomes
Success Rate of Procedure
Defined as the absence of stridor or the need for re-intervention within a defined follow-up period (3 months
Secondary outcomes
Complication Rates
Evaluation of perioperative complications: * Immediate Complications: Airway obstruction, pneumothorax, anastomotic leak, or accidental injury to surrounding structures (e.g., RLN). * Delayed Complications: Stenosis, granulation tissue formation, tracheomalacia, or infection (e.g., mediastinitis). * Mortality Rate: Intraoperative and 30-day mortality rates
Duration of Hospital Stay
Measured from the day of surgery to discharge
Time to Decannulation
Time taken for patients to be successfully decannulated, which can be indicative of recovery and airway stability.
Sponsors and contacts
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