title: Thoracotracheostomy.
abstract: When laryngeal carcinoma extends into the cervical trachea, peritracheal nodes, prelaryngeal tissues and skin, or when it recurs at the tracheal stoma, the prognosis becomes rather dismal. To have a hope of cure, a palliative excision must be radical. Developments in the surgical techniques for exposure, excision, and reconstruction which have evolved during the past quarter century are reviewed, along with a case presentation through which the problems and techniques are illustrated.
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000601:surgery; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D008297:Male; D008722:Methods; D008875:Middle Aged; D010166:Palliative Care; D014134:Tracheal Neoplasms / Q000601:surgery*; D014140:Tracheotomy