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Ann Thorac Surg 1992;53:54-63
© 1992 The Society of Thoracic Surgeons

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Articles

Laryngotracheal resection and reconstruction for subglottic stenosis

General Thoracic Surgical Unit. Massachusetts General Hospital, and Department of Surgery, Harvard Medical School, Boston, Massachusetts, USA

^_* Address reprint requests to Dr Grillo, Massachusetts General Hospital, Boston, MA 02114.

	Abstract

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Eighty patients with inflammatory stenoses of the subglottic larynx and upper trachea were treated by singlestage laryngotracheal resection and reconstruction. Fifty stenoses originated from postintubation lesions (endotracheal tubes, tracheostomy, cricothyroidostomy), 7 originated from trauma, 19 were idiopathic, and 4 were miscellaneous. Repair consisted of resection of the anterolateral cricoid arch in all patients, plus resection of posterior laryngeal stenosis where present, with salvage of the posterior cricoid plate, appropriate resection and tailoring of the trachea, and primary anastomosis using a posterior membranous tracheal wall flap to resurface the bared cricoid cartilage in 31 patients. One postoperative death resulted from acute myocardial infarction. Longterm results were excellent in 18 patients, good in 48, satisfactory in 8, and failute in 2. Three additional patients had good results at discharge but were followed up for less than 6 months.

	Footnotes

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Presented at the Twenty-seventh Annual Meeting of The Society of Thoracic Surgeons, San Francisco, CA, Feb 18–20, 1991.

	References

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1. Grillo HC. Primary reconstruction of airway after resection of subglottic laryngeal and upper tracheal stenosis Ann Thorac Surg 1982;33:3-18.[Abstract/Free Full Text]
2. Ogura JH, Roper CL. Surgical correction of traumatic stenosis of the larynx and pharynx Laryngoscope 1962;72:468-480.
3. Gerwat J, Bryce DP. The management of subglottic stenosis by resection and direct anastomosis Laryngoscope 1974;84:940-947.[Medline]
4. Pearson FG, Cooper JD, Nelems JM, Van Nostrand AWP. Primary tracheal anastomosis after resection of the cricoid cartilage with preservation of recurrent laryngeal nerves J Thorac Cardiovasc Surg 1975;70:806-816.[Abstract]
5. Couraud L, Martigne C, Houdelette P, et al. Intérêt de la résection cricoidienne dans le traitement des sténoses cricotrachéales après intubation Ann Chir Thorac Cardiovasc 1979;33:242-246.
6. Grillo HC, Zannini P. Resectional management of airway invasion by thyroid carcinoma Ann Thorac Surg 1986;42:287-298.[Abstract/Free Full Text]
7. Grillo HC, Mathisen DJ. Primary tracheal tumors: treatment and results Ann Thorac Surg 1990;49:69-77.[Abstract/Free Full Text]
8. Momose KJ, Macmillan Jr AS. Roentgenologic investigations of the larynx and trachea Radiol On North Am 1978;16:321-341.
9. Montgomery WW. Suprahyoid release for tracheal stenosis Arch Otolaryngol 1974;99:255-259.[Medline]
10. Grillo HC, Moncure AC, McEnany MT. Repair of inflammatory tracheoesophageal fistula Ann Thorac Surg 1976;22:112-119.[Abstract/Free Full Text]
11. Conley JJ. Reconstruction of the subglottic air passage Ann Otol Khinol Laryngol 1953;62:477-495.
12. Shaw R, Paulson DL, Kee Jr JL. Traumatic tracheal rupture J Thorac Cardiovasc Surg 1961;42:281-297.
13. Ogura JH, Powers WE. Functional restitution of traumatic stenosis of the larynx and pharynx Laryngoscope 1964;74:1081-1110.[Medline]
14. Ogura JH, Biller HF. Reconstruction of the larynx following blunt trauma Ann Otol Rhinol Laryngol 1971;80:492-506.[Medline]
15. Pearson FG, Brito-Filomeno L, Cooper JD. Experience with partial criod resection and thyrotrachel anastomosis Otol Rhinol Laryngol 1986;95:582-855.
16. Couraud L, Brichon PY, Velly JF. The surgical treatment of inflammatory and fibrous laryngotracheal stenosis Eur J Cardiothorac Surg 1988;2:410-415.[Abstract/Free Full Text]

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