Idiopathic laryngotracheal stenosis: Effective definitive treatment with laryngotracheal resection Simon K Ashiku, MD, Akin Kuzucu, MD, Hermes C Grillo,

Slides:

Advertisements

Similar presentations

Subglottic Tracheal Resection

Advertisements

The eighth edition TNM stage classification for lung cancer: What does it mean on main street? Frank C. Detterbeck, MD The Journal of Thoracic and Cardiovascular.

Surgical Treatment of Pulmonary Artery Sling and Tracheal Stenosis

Definition of proximal anastomosis in the doors study

Rigid Bronchoscopy: Indications and Techniques

Carinal Resection and Sleeve Pneumonectomy Using a Transsternal Approach Robert J. Ginsberg Operative Techniques in Thoracic and Cardiovascular Surgery

Subglottic Tracheal Resection

Partial cricoidectomy with primary thyrotracheal anastomosis for postintubation subglottic stenosis Paolo Macchiarini, MD, PhDa, Jean-Philippe Verhoye,

Christopher W. Baird, MD, Joseph M. Forbess, MD

Tracheoplasty for Expiratory Collapse of Central Airways

Surgical Management of Subglottic Stenosis

Tracheal Compression Caused by Straight Back Syndrome, Chest Wall Deformity, and Anterior Spinal Displacement: Techniques for Relief Hermes C. Grillo,

Surgical treatment is decisive for outcome in chondrosarcoma of the chest wall: A population-based Scandinavian Sarcoma Group study of 106 patients Björn.

Ultrasound, endoscopy, and the recurrent nerve

Single-stage repair of a large acquired tracheoesophageal fistula with interposition of 2 muscle pedicle flaps and laparoscopic gastrojejunostomy Vishwanath.

Pediatric tracheal surgery

Successful subtotal tracheal replacement (using a skin/omental graft) for dehiscence after a resection for thyroid cancer Lorenzo Spaggiari, MD, PhD,

Hyperbaric oxygen therapy for the treatment of anastomotic complications after tracheal resection and reconstruction Cameron Stock, MD, Natalie Gukasyan,

Anastomotic complications after tracheal resection: Prognostic factors and management Cameron D. Wright, MD, Hermes C. Grillo, MD, John C. Wain, MD,

Tracheal Resection and Reconstruction: How I Teach It

Simon Ashiku, MD, Malcolm M. DeCamp, MD

Closure with bronchial wall flap and omental pedicle of defect caused by dehiscence of tracheal suture line after extended right upper sleeve lobectomy

Repair of large airway defects with bioprosthetic materials

Subglottic Tracheal Resection

Skinning the cat: Another wrinkle for T-tube insertion

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

A modified technique of selective lung ventilation through a tracheostomy to facilitate conservative management of iatrogenic tracheal rupture Elizabeth.

New treatment approaches create new disease processes: A short guide on how to reduce unexpected events to a minimum Martin Czerny, MD, MBA The Journal.

Techniques of Performing Left Carinal Pneumonectomy

Single-Staged Laryngotracheal Reconstruction for Idiopathic Tracheal Stenosis Alfonso Morcillo, PhD, Richard Wins, MD, Abel Gómez-Caro, PhD, Marina Paradela,

Congenital Tracheal Stenosis: Tracheal Autograft Technique

Healing process after total cricoidectomy and laryngotracheal reconstruction: Endoscopic and histologic evaluation in a canine model Kazumichi Yamamoto,

Postintubation tracheal stenosis

Clinical experience with carinal resection

A modified technique of laryngotracheal reconstruction without the need for prolonged postoperative stenting Konrad Hoetzenecker, MD, PhD, Thomas Schweiger,

Use of a prefabricated pectoralis major muscle flap and pedicled jejunal interposition graft for salvage esophageal reconstruction after failed gastric.

Meghana R. Kunkala, MD, Claude Deschamps, MD

Evaluation and outcome of different surgical techniques for postintubation tracheoesophageal fistulas Paolo Macchiarini, MD, PhD, Jean-Philippe Verhoye,

Esophageal stent migration into the trachea

Postpneumonectomy syndrome: Surgical management and long-term results

Navigating the lung for hidden treasure

Choice of second pericardial drainage tube for posterior placement

Recurrent, Nonmalignant Tracheoesophageal Fistulas and the Need for Surgical Improvisation Áron Altorjay, MD, PhD, Mihály Mucs, MD, Miklós Rüll, MD,

Simplified anastomotic technique for end-to-side bronchial reimplantation onto the trachea or contralateral main bronchus after complex tracheobronchial.

Management of severe pediatric subglottic stenosis with glottic involvement Mercy George, MS, Yves Jaquet, MD, Christos Ikonomidis, MD, Philippe Monnier,

Cardiothoracic surgery: A specialty divided or as one

Christina L. Costantino, MD, John L. Niles, MD, Cameron D

Manuel J. Antunes, MD, PhD, DSc

A new surgical technique for one-stage repair of interrupted aortic arch with valvular aortic stenosis Masaaki Yamagishi, MD, Katsuji Fujiwara, MD, Yoshiaki.

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Esophageal Leiomyoma: A 40-Year Experience

A new classification of bronchial anastomosis after sleeve lobectomy

Inhaled nitric oxide for adult respiratory distress syndrome after pulmonary resection Douglas J Mathisen, MD, Elbert Y Kuo, Chiwon Hahn, MD, Ashby C.

Haifeng Wang, MD, Cameron D. Wright, MD, John C. Wain, MD, Harald C

Preserving the V-engine shape of the left ventricle with Melody mitral valve replacement in small children Patrick O. Myers, MD The Journal of Thoracic.

Hermes C. Grillo, MD, Cameron D. Wright, MD

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

A call for standardized end point definitions regarding outcomes of extracorporeal membrane oxygenation John J. Squiers, BSE, Brian Lima, MD, J. Michael.

External tracheal stenting for pediatric airway obstruction: A word of caution Roosevelt Bryant, MD The Journal of Thoracic and Cardiovascular Surgery

Should it stay or should it go?

Atypical bronchoplasty to preserve the lung parenchyma: The bronchofolding technique Mitsuhiro Kamiyoshihara, MD, PhD, Takashi Ibe, MD, Atsushi Takise,

“The more things change…”: The challenges ahead

Intermediate term follow-up of the end-to-side aortic anastomosis for coarctation of the aorta Adel K Younoszai, MD, Vadiyala Mohan Reddy, MD, Frank.

Managing conflicts of interest

Carinal surgery: A single-institution experience spanning 2 decades

The evolution of cardiothoracic critical care

Partial cricotracheal resection for pediatric subglottic stenosis: Long-term outcome in 57 patients Yves Jaquet, MD, Florian Lang, MD, Raphaelle Pilloud,

Reconstruction of the sternal manubrium

Invited Commentary The Annals of Thoracic Surgery

Presentation transcript:

Idiopathic laryngotracheal stenosis: Effective definitive treatment with laryngotracheal resection Simon K Ashiku, MD, Akin Kuzucu, MD, Hermes C Grillo, MD, Cameron D Wright, MD, John C Wain, MD, Bruce Lo, MD, Douglas J Mathisen, MD The Journal of Thoracic and Cardiovascular Surgery Volume 127, Issue 1, Pages 99-107 (January 2004) DOI: 10.1016/j.jtcvs.2002.11.001

Figure 1 Diagrams of typical distribution of idiopathic tracheal and laryngotracheal stenosis. A, Lesion confined principally to the upper trachea, but which usually impinges on the low subglottic larynx at cricoid level. B, Lesion commencing in the subglottic larynx with narrowing of the immediately subglottic space which, however, leaves an “atrium” beneath the cords. The maximum stenosis is at cricotracheal level. C, More marked stenosis immediately below the vocal cords with little space for anastomosis even at that level. (Ann Thorac Surg 1993;56:80-7 [Figure 1]; published with permission of Edith Tagrin.) The Journal of Thoracic and Cardiovascular Surgery 2004 127, 99-107DOI: (10.1016/j.jtcvs.2002.11.001)

Figure 2 Technique of laryngotracheal resection and reconstruction in the presence of circumferential stenosis. A, External lines of anterior division of larynx and trachea are indicated by dashed lines. B, Lateral view indicates removal of anterior arch of cricoid but conservation of posterolateral laminae and posterior cricoid to preserve recurrent laryngeal nerves. A single proximal intact cartilage of trachea is beveled as shown. C, The posterior stenosis is excised from the front of the posterior cricoid plate, preserving the plate and its posterior perichondrium. A broadly based flap of membranous tracheal wall is fashioned distally, as shown, to resurface the cricoid plate. (Ann Thorac Surg 1982;33:3-8 [Figures 7 and 8]. Published with permission of Edith Tagrin.) The Journal of Thoracic and Cardiovascular Surgery 2004 127, 99-107DOI: (10.1016/j.jtcvs.2002.11.001)

Figure 2 D, The base of the posterior flap is tied to the inferior margin of cricoid plate. Lateral traction sutures are also shown. E, The flap is sutured into place. The knots are posterior to the mucosa. F, After placement of all posterior and posterolateral anastomotic sutures, the stay sutures are tied, then the external posterior sutures, followed by the posterolateral anastomotic sutures, and then the internal posterior mucosal sutures. Anterior and anterolateral sutures are then placed and tied, completing the anastomosis. (Ann Thorac Surg 1992;53:54-63 [Figure 10]; published with permission of Edith Tagrin.) The Journal of Thoracic and Cardiovascular Surgery 2004 127, 99-107DOI: (10.1016/j.jtcvs.2002.11.001)