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Related Experiment Videos

Experience with partial cricoid resection and thyrotracheal anastomosis.

F G Pearson, L Brito-Filomeno, J D Cooper

    The Annals of Otology, Rhinology, and Laryngology
    |November 1, 1986
    PubMed
    Summary

    Tracheal and subglottic resection with laryngotracheal anastomosis effectively reconstructs the airway after injury or disease. This surgical approach maintains airway patency and preserves voice and exercise tolerance long-term.

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    Area of Science:

    • Otolaryngology
    • Thoracic Surgery
    • Surgical Reconstruction

    Background:

    • Airway stenosis can result from postintubation strictures, blunt trauma, neoplasms, burns, or idiopathic causes.
    • Surgical intervention is often necessary to restore airway patency and function.

    Purpose of the Study:

    • To evaluate the long-term outcomes of tracheal and subglottic resection with primary laryngotracheal anastomosis.
    • To assess the efficacy of this surgical technique in preserving airway patency, voice, and exercise tolerance.

    Main Methods:

    • Retrospective review of 28 patients undergoing tracheal and subglottic resection with primary laryngotracheal anastomosis.
    • Analysis of various etiologies including postintubation stricture, trauma, neoplasm, and burns.
    • Assessment of surgical techniques including anterior cricoid arch resection, posterior cricoid plate preservation, and use of Montgomery T-tube stenting.

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  • Long-term follow-up (5-10+ years) evaluating airway patency, voice, exercise tolerance, and recurrent laryngeal nerve function.

    • Main Results:

    • A widely patent anastomosis was achieved in 26 of 28 patients.
    • Voice and exercise tolerance remained stable over time.
    • Recurrent laryngeal nerve function was preserved in 20 of 21 patients with pre-operative intact function.
    • Two patients experienced partial restenosis, leading to minor exercise limitations.

    Conclusions:

    • Primary laryngotracheal anastomosis following tracheal and subglottic resection is a successful surgical strategy for airway reconstruction.
    • The procedure effectively restores airway patency while preserving essential functions like voice and exercise tolerance.
    • Long-term follow-up confirms the durability and safety of this reconstructive approach.