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Tracheal release maneuvers.

Brett Broussard1, Douglas J Mathisen1

  • 1Division of Thoracic Surgery, Massachusetts General Hospital, Boston, MA, USA.

Annals of Cardiothoracic Surgery
|May 1, 2018
PubMed
Summary
This summary is machine-generated.

Tracheal resection and reconstruction techniques have advanced with better understanding of blood supply and release maneuvers. These methods improve outcomes for cervical and thoracic tracheal surgeries by reducing anastomotic tension.

Keywords:
Trachealaryngeal releasepericardial releasesuprahyoid releasetracheal release maneuvertracheal resection

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Cardiothoracic Surgery

Background:

  • Tracheal resection and reconstruction (TRR) development in thoracic surgery has been gradual.
  • Improved understanding of tracheal blood supply and release maneuvers enhances anastomosis outcomes.
  • Key release maneuvers include laryngeal, suprahyoid, hilar, and pericardial techniques.

Purpose of the Study:

  • To review indications, technical considerations, and results of tracheal release maneuvers.
  • To highlight methods for improving anastomotic tension in TRR.
  • To provide a comprehensive overview of cervical and intrathoracic TRR techniques.

Main Methods:

  • Review of cervical and intrathoracic tracheal release maneuvers.
  • Discussion of laryngeal, suprahyoid, hilar, and pericardial release techniques.
  • Inclusion of simple maneuvers like neck flexion and pretracheal plane dissection.

Main Results:

  • Release maneuvers significantly improve the ability to achieve low-tension anastomoses.
  • Understanding vascular supply is crucial for successful TRR.
  • Various maneuvers are tailored for specific resection levels (cervical vs. thoracic).

Conclusions:

  • Tracheal release maneuvers are essential for successful tracheal resection and reconstruction.
  • These techniques, combined with anatomical knowledge, lead to better surgical outcomes.
  • Further refinement of these maneuvers will continue to advance TRR procedures.