Acquired Tracheal Stenosis

  • Douglas E. Wood


Disorders involving the airway are relatively uncommon. Most thoracic surgeons will see only the occasional patient with tracheal pathology. However, both benign and malignant obstructions of the central airway cause significant morbidity and mortality. Successful management may correct or palliate impending suffocation, dyspnea, and obstructive pneumonia. Tracheal resection and reconstruction may preclude the need for a life-long tracheostomy and allow preservation of laryngeal function in patients with benign strictures and provide treatment with curative intent for airway tumors.


Tracheal stenosis Post-intubation Subglottic stenosis Interventional bronchoscopy Tracheal resection Tracheal reconstruction 


  1. 1.
    Grillo HC, Donahue DM, Mathisen DJ, Wain JC, Wright CD. Post intubation tracheal stenosis: treatment and results. J Thorac Cardiovasc Surg. 1995;109:46–93.CrossRefGoogle Scholar
  2. 2.
    Grillo HC, Mathisen DJ. Primary tracheal tumors: treatment and results. Ann Thorac Surg. 1990;49:69–77.CrossRefPubMedGoogle Scholar
  3. 3.
    Pearson FG, Cooper JD, Nelems JM, et al. Primary tracheal anastomosis after resection of the cricoid cartilage with preservation of recurrent laryngeal nerves. J Thorac Cardiovasc Surg. 1975;70:806–16.PubMedGoogle Scholar
  4. 4.
    Grillo HC. Carinal reconstruction. Ann Thorac Surg. 1982;34:356–73.CrossRefPubMedGoogle Scholar
  5. 5.
    Salassa JR, Pearson BW, Payne WS. Gross and microscopical blood supply of the trachea. Ann Thorac Surg. 1977;24:100–7.CrossRefPubMedGoogle Scholar
  6. 6.
    Gaissert HA, Grillo HC, Shadmehr MB, Wright CD, Gokhale M, Wain JC, Mathisen DJ. Long-term survival after resection of primary adenoid cystic and squamous cell carcinoma of the trachea and carina. Ann Thorac Surg. 2004;78(6):1889–97.CrossRefPubMedGoogle Scholar
  7. 7.
    Heitmiller RF. Tracheal release maneuvers. Chest Surg Clin North Am. 1996;6:675–82.Google Scholar
  8. 8.
    Mulliken JB, Grillo HC. The limits of tracheal resection with primary anastomosis. J Thorac Cardiovasc Surg. 1968;55:418–21.PubMedGoogle Scholar
  9. 9.
    Montgomery WW. Suprahyoid release for tracheal anastomosis. Arch Otolaryngol. 1974;99:255–60.CrossRefPubMedGoogle Scholar
  10. 10.
    Pearson FG, Todd TRJ, Cooper JD. Experience with primary neoplasms of the trachea. J Thorac Cardiovasc Surg. 1984;88:511–8.PubMedGoogle Scholar
  11. 11.
    Stephens KE Jr, Wood DE. Bronchoscopic management of central airway obstruction. J Thorac Cardiovasc Surg. 2000;119:289–96.CrossRefPubMedGoogle Scholar
  12. 12.
    Wood D, Liu Y, Vallières E, et al. Airway stenting for malignant and benign tracheobronchial stenosis. Ann Thorac Surg. 2003;76(1):167–72; discussion 173–4.CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of WashingtonSeattleUSA

Personalised recommendations