von Windheim K
HNO. 1980 Feb;28(2):60-2.
Where possible segmental resection of tracheal stenoses and end-to-end tracheal anastomosis is the treatment of choice. However inflammatory conditions, especially those that are deeply necrotizing, should be allowed to settle first. The main problem in end-to-end anastomoses in the lower as well as in the upper trachea is the tension across the suture line. In resections over 7 cm in length this tension can be up to 1,000 gm. However in those tracheal resections of 7 cm length this tension can be acceptably diminished by flexion of the neck, mobilization of the trachea and especially the right main bronchus, and by suprahyoid mobilization of the larynx (by Montgomery's method). - The resection and end-to-end anastomosis of a tracheal defect first treated by the open groove method is also possible. Some such cases are presented. - The impaired ventilation of one lung, as with paralysis of the diaphragm and with pleural thickening, seems to increase the problems of anastomotic wound healing.
在可能的情况下，气管狭窄的节段性切除和气管端端吻合术是首选的治疗方法。然而，炎症性疾病，尤其是那些深度坏死的疾病，应先让其稳定下来。气管下端和上端端端吻合的主要问题是缝合线处的张力。在长度超过7厘米的切除术中，这种张力可达1000克。然而，在那些长度为7厘米的气管切除术中，通过颈部屈曲、气管尤其是右主支气管的游离以及通过蒙哥马利法进行舌骨上喉游离，可以使这种张力得到可接受的降低。—— 首先采用开放槽法治疗的气管缺损的切除和端端吻合也是可行的。本文介绍了一些此类病例。—— 一侧肺通气受损，如膈肌麻痹和胸膜增厚时，似乎会增加吻合口愈合的问题。
