Jennifer L. Wilson, MD, Erik Folch, MD, Michael S

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Posterior Mesh Tracheoplasty for Cervical Tracheomalacia: A Novel Trachea-Preserving Technique Jennifer L. Wilson, MD, Erik Folch, MD, Michael S. Kent, MD, Adnan Majid, MD, Sidhu P. Gangadharan, MD The Annals of Thoracic Surgery Volume 101, Issue 1, Pages 372-374 (January 2016) DOI: 10.1016/j.athoracsur.2015.05.112 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Bronchoscopic views of the proximal trachea after intrathoracic tracheobronchoplasty. (A) Inspiratory and (B) expiratory from functional bronchoscopy 6 months after tracheobronchoplasty. (C) Inspiratory and (D) expiratory 14 months after tracheobronchoplasty, showing progressive obstruction of the lumen with forced expiration over the time interval. White arrows indicate the superior extent of the posterior mesh placed through the intrathoracic approach. The Annals of Thoracic Surgery 2016 101, 372-374DOI: (10.1016/j.athoracsur.2015.05.112) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Mobilized diseased cervical trachea with proximal and distal extent of disease marked with ink. The Annals of Thoracic Surgery 2016 101, 372-374DOI: (10.1016/j.athoracsur.2015.05.112) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Suture placement through polypropylene mesh. (A) One set of membranous partial-thickness sutures. (B) Polydioxanone sutures placed through the membranous wall on either side, and three right-sided sutures (black arrow) have been brought through the mesh, which is held with forceps. The airway will then be rotated using the lighter-colored stay sutures, and the left-sided membranous wall sutures (white arrow) will be passed through the mesh. The cartilaginous-membranous junction sutures will then be placed on either side. The Annals of Thoracic Surgery 2016 101, 372-374DOI: (10.1016/j.athoracsur.2015.05.112) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions