Reinforcement of an end-to-end Tracheal Resection Anastomosis with Fibrin Glue: A Case Report

• Published in: Ear, nose, & throat journal Vol. 80; no. 4; pp. 234 - 238
• Main Authors: Kacker, Ashutosh, Huo, Jerry
• Format: Journal Article
• Language: English
• Published: Los Angeles, CA SAGE Publications 01.04.2001; Medquest Communications; Sage Publications, Inc; SAGE PUBLICATIONS, INC
• Subjects: Aged; Anastomosis; Anastomosis, Surgical - methods; Biological and medical sciences; Bronchoscopy; Equipment and supplies; Fibrin; Fibrin Tissue Adhesive - therapeutic use; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics; Humans; Intubation, Intratracheal - adverse effects; Male; Medical sciences; Medicine; Risk Factors; Stenosis; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the upper aerodigestive tract; Surgical anastomosis; Surgical Wound Dehiscence - etiology; Surgical Wound Dehiscence - prevention & control; Suturing; Technology. Biomaterials. Equipments; Tissue Adhesives - therapeutic use; Trachea; Trachea - surgery; Tracheal Stenosis - classification; Tracheal Stenosis - diagnosis; Tracheal Stenosis - etiology; Tracheal Stenosis - surgery; Tracheostomy - adverse effects; Treatment Outcome; United States; Performance evaluation; Indication; Stenosis; Male; Age 60-69; Surgery; ENT disease; Adult; Evolution; Biomaterial; Endoscopy; Trachea; Biomedical engineering; Human; Bronchoscopy; Diseases of the trachea; Respiratory disease; Treatment efficiency; Surgical anastomosis; Surgical glue; Exploration; Surgical resection; Suturation; Case study; Fibrin; Treatment; Application method; Technique
• ISSN: 0145-5613; 1942-7522
• DOI: 10.1177/014556130108000412

Tracheal resection and primary anastomosis is the treatment of choice for a short-segment stenosis. However, the procedure does carry the risk of two potentially fatal complications: anastomosis breakdown and leak. We describe the case of a 67-year-old man who was treated for a 3-cm tracheal stenosis secondary to a prolonged intubation and multiple tracheostomies. The patient underwent a tracheal resection and primary anastomosis. The anastomosis was reinforced with fibrin sealant, which created an airtight seal. The patient was extubated postoperatively, and he healed without complication. Fibrin sealant is a convenient, safe, and effective material for reinforcing anastomotic suture lines.