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Department of General Thoracic Surgery, Massih Daneshvari Hospital, Shaheed Beheshti University of Medical Science, Shaheed Bahonar Ave, Darabad, PO Box 19575/154, Tehran, 1956944413 Iran
(Email: abbasidezfouli@nritld.ac.ir).
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To the Editor:
Questions asked by Drs Puma and Rugasa [1] are actually good questions and are indicative of their knowledge of tracheal surgery and its technical principals. Although we assume that in the body of the article that these questions have been somewhat answered, we offer the following explanations for better understanding:
Answer to the First Question: All of our cases were patients with an intact segment of trachea between the two stenotic sites. As mentioned by Dr Puma, cases in which cuff and stoma strictures are adjacent are common. However, these patients are not the subjects of this study and we consider such cases as having one stricture as well. In our experience, 4% of all cases with postintubation tracheal stenosis had multi-segmental stenosis. This has been pointed out in the discussion of the article [2].
Answer to the Second Question: The patient we reported with a 9-cm resection was an exceptional case. It was unknown that such a long resection would be feasible. In fact, we anastomosed the remaining
Related Article
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