Department of Otolaryngology, Ospedale San Bortolo, Vicenza, Italy.
Department of Otorhinolaryngology - Head and Neck Surgery, University Hospital of Verona, University of Verona, Verona, Italy.
Head Neck. 2023 Oct;45(10):2730-2734. doi: 10.1002/hed.27468. Epub 2023 Jul 21.
Tracheal stenosis is an uncommon pathological condition in which the lumen of the trachea is reduced. Within its management an adequate preoperative workup is crucial to determine the most appropriate procedure for each patient. In this scenario tracheal resection and anastomosis is a viable approach, as a procedure in which part of the trachea is removed and then restored with a tension-free anastomosis. It is usually indicated for extensive and high-grade lesions or when previous endoscopic procedures had failed. The patient here presented had already undergone a balloon dilatation twice and a tracheal resection and referred to our clinic with a residual tracheal stenosis graded Myer-Cotton 3 involving three tracheal rings. We here illustrate step-by-step the surgical procedure and highlight a peculiar way to perform the anastomosis, especially in a revision surgery.
气管狭窄是一种罕见的病理状况，其中气管腔变窄。在其管理中，充分的术前检查对于确定每个患者最合适的手术程序至关重要。在这种情况下，气管切除和吻合术是一种可行的方法，因为该手术切除部分气管，然后用无张力吻合术恢复。它通常适用于广泛和高级别的病变，或当先前的内镜手术失败时。本文介绍的患者已经接受了两次球囊扩张和一次气管切除术，并因残留的气管狭窄（Myer-Cotton 3 级，累及三个气管环）转诊至我们诊所。我们在这里逐步展示手术过程，并强调一种特殊的吻合方法，特别是在修正手术中。
