Skip to main content
Log in

Anterior tracheoplasty

A new technique

  • Original/main Article
  • Published:
Indian Journal of Otolaryngology Aims and scope Submit manuscript

Abstract

A new surgical technique for reconstruction of the stenosed cervical traches is described. In this operation, at first the scar tissue is removed from, the trachea creating a lumen. The tracheal lumen is lined with antral mucosa, placed isociliarily with respect to the trachea. A portex (PVC) tube is placed in the lumen. Then the sternohyoid muscles are isolated without severing the upper and lower attachments and leaving the nerve supplies to these muscles undisturbed. One or two transverse tunnels are created in the substance of each muscle and silastic bars, with convexity forwards, are inserted into the tunnel and the two muscles are stitched to each other in the midline, thus-burying the bars. The normal geodesic arrangement of the trachea is largely re-established by this operation. There is increase in both transverse and anteroposterior dimensions of the trucheal lumen following this operation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ballenger, J. J., (1985): Diseases of the Nose, Throat, Ear, Head and neck, Lea & Febiger,Philadeephid.

    Google Scholar 

  2. Barclay, R. S., MeSwan, H & Welsh, T. M., (1957): Tracheal reconstruction without the use of grafts,Thorax,12 : 177.

    PubMed  CAS  Google Scholar 

  3. Bryce, D. P., Briant, T.D.R. & Pearson, F. G. (1968): Laryngeal and tracheal complications of intubation,Ann. Otol. Rhinol. Laryngol,77 : 442.

    PubMed  CAS  Google Scholar 

  4. Eliachar, I., Golosher, M., Addler, O. and Jeachims, H. Z. (1979): Combined treatment of concurrent laryngeal and tracheal stenosis.J. Laryng Otol.,93 : 59.

    CAS  Google Scholar 

  5. Emerson, P., (1981) Thoracic Medicine, Butterworths,London. P-5.

    Google Scholar 

  6. Evans, J. N. (1977): Laryngotracheoplasty,Otolaryng. Clinic. N. Amer. 10(1) : 119.

    CAS  Google Scholar 

  7. Ghosh, P., Basak, G., Bahadur, S. and Mukherjee, S. (1979): Management of complete laryngopharyngeal stenosis,Ind. J. Otolaryng. 28 : 157–176.

    Google Scholar 

  8. Ghosh, P., B. De Souza., Dahariwal, A. and Bahadur, S. (1984): Laryngo-tracheal and pharyngo-oesophageal stenosis.J. Otolaryng. Soc. Australia,5 : 239–243.

    Google Scholar 

  9. Grillo, H. C. (1965): Circumferential Resection & Reconstruction of Mediastinal and Cervical trachea,Ann. Surgery. 162 : 374–388.

    Article  CAS  Google Scholar 

  10. Grillo, H. C. (1969): The management of tracheal stenosis following assisted respiration,J. Thoracic. Cardiovascular Surgery,57 : 52–68.

    CAS  Google Scholar 

  11. Grillo, H. C. (1973): Reconstruction of trachea,Thorax,28 : 667–679.

    Article  PubMed  CAS  Google Scholar 

  12. Grillo, H. C. (1989): Notes on the Windpipe,Ann. Thoracic. Surgery,47 : 9–26.

    CAS  Google Scholar 

  13. Lyons, G., Owens, R., Lousteam, R. et at, (1980): CO2 laser treatment of laryngeal stenosis,Arch, Otol. 106 : 255–256.

    CAS  Google Scholar 

  14. Montgomery, W. W. (1964) Reconstruction of cervical trachea,Ann. Otol. Rhinol. Laryngol. 73: 5.

    Google Scholar 

  15. Par’e, A., (1960): The case reports and autopsy records of Ambroise Pare, Hamby, W. B., ed. Springfield, III. C. C. Thomas, 47–49.

    Google Scholar 

  16. Ramalingam, K. K., (1980) Management of tracheal stenosis by composite bone-muscle graft,Indian J. Otol,32: 121–123.

    Google Scholar 

  17. Sardana, D. S. and Prasad, D, (1976): Tracheal homografts in dogs,Ind J. Otol. 28 : 161.

    Google Scholar 

  18. Salassa, J. R., Pearson, B. W. & Payne, W. S. (1977): Gross and Microscopical Blood supply of the Trachea,Annals, Thor. Surgery. 24 : 100–107.

    Article  CAS  Google Scholar 

  19. Som, M. L. (1951): Reconstruction of the larynx & trachea, Report of a case of extensive cicatricial stenosis,J. Mount Sinai Hosp. 17 : 1117–1126.

    CAS  Google Scholar 

  20. Ward, P. G., Canalis, R., Fee, W & Smith G. (1977) Composite hyoid-sternohyoid muscle grafts in humans. Its use in reconstruction of subglottic stenosis and the anterior tracheal wall,Arch. Otolaryng,103(9): 531.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ghosh, P., Kaul, H.L. & Mukhopadhyaya, S. Anterior tracheoplasty. Indian J Otolaryngol 43, 56–60 (1991). https://doi.org/10.1007/BF02992544

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02992544

Keywords

Navigation