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Tracheostomy‐related subglottic stenosis: Bacteriologic pathogenesis
Author(s) -
Sasaki Clarence T.,
Horiuchi Masatoshi,
Koss Neal
Publication year - 1979
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-197906000-00001
Subject(s) - subglottic stenosis , pathogenesis , medicine , stenosis , radiology , pathology
Subglottic stenosis carries devastating consequences. Its pathogenesis, and therefore prevention, have thus far eluded precise definition. The following data suggest that tracheostomy results in a contaminated wound, secondarily infecting a larynx which may have been injured by prior intubation, fracture, or surgery. The interpretation of these data is based upon the tested assumption that infection prolongs healing of injured tissue and predisposes to scar and stricture formation. Therefore, the ability to control stomal contamination by the judicious use of topical or systemic antibiotics may play an important role in the prevention of complications in an organ functionally by‐passed by the tracheostomy cannula.