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Ann Thorac Surg 1997;64:583
© 1997 The Society of Thoracic Surgeons

Correspondence

Tetraplegia After Tracheal Resection

Jaime Domínguez, MD, Juan J. Rivas, MD, Ramiro D. Lobato, MD, Vicente Díaz-Hellín Gude, MD, Emilio Larrú Cabrero, MD

Hospital Universitario, "12 De Octubre", Madrid 28041, Spain

To the Editor:

We appreciate the comments by Dr Grillo on our article [1] and share his opinion that extreme degrees of neck flexion should be avoided in patients operated on for tracheal stenosis. However, we would like to note that there has been a misinterpretation of the real degree of neck flexion we used in our patient after the operation. Indeed, we sutured the chin to the chest but the lenght of the sutures was enough to maintain the patient in a guardian-like position. Thus, neck flexion was not so extreme as Dr Grillo understood when reading our article.

We would like to emphasize again that the cause of spinal cord damage in our patient remains unknown, and that there is neither a single recognizable factor nor a combination of factors clearly responsible for the complication occurring in our patient.

Reference

  1. Grillo HC. Invited commentary on Domínguez J, Rivas JJ, Lobato RD, Díaz V, Larrú E. Irreversible tetraplegia after tracheal resection. Ann Thorac Surg 1996;62:278–80.[Abstract/Free Full Text]




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