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12 Σεπ 2018 · A cervical collar incision is usually performed on the upper third of the trachea; a cervical collar incision combined with partial or total sternotomy is preferred for lesions in the middle third of the trachea; and total sternotomy or fifth rigth thoracotomy is necessary for distal tracheal lesions [3, 12, 20].
Presents the latest advances in surgery of larynx and trachea for benign and cancer lesions; Meets the needs of both residents new to the field and specialists; Features a reader-friendly, highly didactical practical structure
The total laryngectomy procedure involves the removal of all laryngeal structures and a section of the upper trachea, which leads to disconnection of the airway and a permanent breathing hole in the neck (tracheostoma).
The most common incision is a low collar incision (Fig 2A). More distal exposure can be achieved by extending the incision and dividing the manubrium (Fig 2B). A small pediatric sternal retractor separates the manubrium. Full sternotomy is rarely required.
The dissection proceeds deeper in the midline until the larynx and trachea are delineated. Starting at the tracheostomy site, a vertical midline incision is then made into the anterior laryngotracheal wall and airway lumen, and the full extent of the stenosis is exposed (Figure 1 A).
20 Δεκ 2021 · Results. Forty-four patients were included, of which 21 (47.7%) underwent surgery for a tumor, whereas 23 (52.3%) were operated for a benign stenosis. The most common tumor type was thyroid carcinoma with tracheal invasion (15.9%).
31 Μαΐ 2023 · Endoscopic laryngotracheoplasty (the Maddern procedure) is a durable, scarless treatment for recurrent or refractory idiopathic subglottic stenosis. This technique includes complete endoscopic resection of the subglottic mucosa and scar while maintaining the cartilaginous framework of the larynx and trachea.
