Tracheal resection and anastomosis (original) (raw)

Management of laryngotracheal stenosis remains one of the most challenging problems facing the otolaryngologist. Decannulation is the primary treatment goal, and multiple options are available. These include dilations, endoscopic removal of the obstruction, and open surgical techniques. No single procedure is appropriate for all situations, and the surgeon must choose the operation best suited for every particular case. This article describes the technical details and indications for tracheal resection and end-to-end anastomosis, emphasizing the releasing procedures that can be used in the management of extensive tracheal stenosis. The special problems created by subglottic stenosis and their open surgical management are also addressed.