Deslauriers Jean
Laval University, 6364, Chemin Royal, Saint-Laurent-de-l'Île-d'Orléans, Quebec City, Quebec G0A3Z0, Canada.
Thorac Surg Clin. 2018 May;28(2):109-115. doi: 10.1016/j.thorsurg.2018.02.001.
Significant developments in airway surgery occurred following the introduction of mechanical ventilators and intubation with cuffed endotracheal tubes during the poliomyelitis epidemic of the 1950s. The resulting plethora of postintubation injuries provided extensive experience with resection and reconstruction of stenotic tracheal lesions. In the early 1960s, it was thought that no more 2 cm of trachea could be removed. By the late 1960s, this was challenged owing to better knowledge of airway anatomy and blood supply, tension-releasing maneuvers, and improved anesthetic techniques. Currently, about half of the tracheal length can be safely removed and continuity restored by primary anastomosis.
20世纪50年代脊髓灰质炎流行期间，随着机械通气和带套囊气管内插管技术的引入，气道外科取得了重大进展。由此产生的大量插管后损伤为狭窄气管病变的切除和重建提供了丰富的经验。在20世纪60年代早期，人们认为气管切除长度不能超过2厘米。到20世纪60年代后期，由于对气道解剖结构和血供的深入了解、张力释放操作以及麻醉技术的改进，这一观点受到了挑战。目前，大约一半的气管长度可以安全切除，并通过一期吻合恢复连续性。
