[Laryngo-Tracheal Resection as an Alternative to Permanent Tracheostomy]

Area of Science:

• Thoracic Surgery
• Surgical Reconstruction
• Airway Management

Background:

• Cervical tracheal stenosis, often caused by tracheotomy, tumors, or idiopathic factors, necessitates surgical intervention.
• Tracheal resection and anastomosis can yield favorable early and long-term results.
• Involvement of the cricoid cartilage presents technical challenges and increases morbidity risks.

Purpose of the Study:

• To describe a technique for laryngotracheal resection and reconstruction.
• To compare perioperative outcomes of laryngotracheal resection with standard tracheal resection.

Main Methods:

• Retrospective analysis of 76 standard tracheal resections and 35 laryngotracheal resections performed between 2005 and 2015.
• Resections utilized direct anastomosis without intraoperative tracheotomy or intralaryngeal stenting.

Main Results:

• Tracheotomy was the primary cause of tracheal stenosis requiring surgery.
• No anastomotic healing disturbances were observed.
• Complication rates, including pulmonary issues and recurrent nerve palsy, were similar between standard and laryngotracheal resection groups, with one mortality in each.

Conclusions:

• Laryngotracheal resection is a significant component of cervical tracheal surgery.
• This procedure can be performed with comparable morbidity to standard tracheal resection.
• It effectively restores lung function and voice quality.