title: [Surgical management of primary cervical tracheal cancer].
abstract: 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.
authors.affiliation: Department of Otorhinolaryngolgy, Qilu Hospital of Shandong University, Jinan 250012, China. panxinl@yahoo.com.cn
authors.forename: Xin-liang
authors.initials: XL
authors.lastname: Pan
authors.forename: Da-peng
authors.initials: DP
authors.lastname: Lei
authors.forename: Feng-lei
authors.initials: FL
authors.lastname: Xu
authors.forename: Li-qiang
authors.initials: LQ
authors.lastname: Zhang
authors.forename: Da-yu
authors.initials: DY
authors.lastname: Liu
authors.forename: Guang
authors.initials: G
authors.lastname: Xie
authors.forename: Xin-yong
authors.initials: XY
authors.lastname: Luan
mesh_terms: 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*