A Novel Technique for Laryngotracheal Reconstruction for Idiopathic Subglottic Stenosis Anna M. Ciccone, MD, Camilla Vanni, MD, Giulio Maurizi, MD, Antonio.

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Presentation transcript:

A Novel Technique for Laryngotracheal Reconstruction for Idiopathic Subglottic Stenosis Anna M. Ciccone, MD, Camilla Vanni, MD, Giulio Maurizi, MD, Antonio D’Andrilli, MD, Stylianos Korasidis, MD, Mohsen Ibrahim, MD, Claudio Andreetti, MD, Federico Venuta, MD, Erino A. Rendina, MD The Annals of Thoracic Surgery Volume 102, Issue 5, Pages e469-e471 (November 2016) DOI: 10.1016/j.athoracsur.2016.03.098 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) The subglottic defect has been resected including the anterior portion of the cricoid ring and the cricothyroid membrane; the thyroid cartilage is incised longitudinally on the midline for an extend of about 2 cm (partial laryngofissure) and the margins retracted laterally with stay sutures to increase the airway space. The apex of the incision reaches the anterior end of the vocal cords. The trachea has been divided below the stenosis and intubated for ventilation. (B) Intraoperative view of the resection. (C) Interrupted sutures have been placed in an outside-to-inside fashion, but untied, between the margins of the incised thyroid cartilage and the lower trachea. (D) Intraoperative view of the reconstruction. The Annals of Thoracic Surgery 2016 102, e469-e471DOI: (10.1016/j.athoracsur.2016.03.098) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The knots have been tied and the laryngotracheal anastomosis has been completed. Downward traction of the sutures placed at the apex of the laryngofissure and the elastic properties of cartilage tissue allow compensation for tissues discrepancies. The Annals of Thoracic Surgery 2016 102, e469-e471DOI: (10.1016/j.athoracsur.2016.03.098) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Endoscopic view of the anastomosis after 1 month. The Annals of Thoracic Surgery 2016 102, e469-e471DOI: (10.1016/j.athoracsur.2016.03.098) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions