[Surgical management of primary cervical tracheal cancer].
OBJECTIVE
To review the experience of surgical treatment of primary cervical tracheal cancer.


METHODS
Six patients with primary cervical tracheal cancer were treated surgically from January 1997 to April 1999. The trachea anastomosis, platysmamyocutaneous flap combiend with the facial flap of the sternohyoid muscle, sternocleidomastoid myoperiosteal flap and the pectoralis major muculocutaneous flap were applied to restore the defects of cervical trachea. By pathology, there were two squamous cell carcinomas, three adenoid cystic carcinomas, and one adenocarcinoma.


RESULTS
Six cases were decannulated from 23 days to 3 months after operation. The length of follow-up was more than 3 years. Five cases have stable airway by fiberscope and good voice after decannulation and there is no recurrence. One case died of lung metastasis 2 years after operation.


CONCLUSIONS
Trachea anastomosis is suited for small partial defect. The platysmamyocutaneous flap combined with the facial flap of the sternohyoid muscle, sternocleidomastoid myoperiosteal flap and the pectoralis major muculocutaneous flap are ideal transplant for cervical tracheal reconstruction.
Pan
Xin-liang
XL
Department of Otorhinolaryngolgy, Qilu Hospital of Shandong University, Jinan 250012, China. panxinl@yahoo.com.cn
Lei
Da-peng
DP
Xu
Feng-lei
FL
Zhang
Li-qiang
LQ
Liu
Da-yu
DY
Xie
Guang
G
Luan
Xin-yong
XY
D000328:Adult; D003528:Carcinoma, Adenoid Cystic / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps; D014132:Trachea / Q000601:surgery*; D014134:Tracheal Neoplasms / Q000601:surgery*