Spiral tracheoplasty after tangential resection of trachea.
Spiral anastomosis was used in 1 patient with recurrent thyroid carcinoma and in another patient with secondary thyroid carcinoma, both involving the right posterolateral wall of the trachea, 3.5 cm and 4 cm, respectively. Before anastomosis was done, both tracheal ends were separated from the esophagus by 2 cm and were rotated by 90 degrees in opposite directions: one clockwise and the other counterclockwise. These 2 patients obtained good patency and received healing of the tracheal anastomosis. Spiral tracheoplasty can reduce the tension at the anastomotic site of the trachea after tangential wall resection.
Wu
Ming-Ho
MH
Division of Thoracic Surgery, Department of Surgery, Chia-Yi Christian Hospital, Chia-Yi City, Taiwan, Republic of China. m2201@mail.ncku.edu.tw
D000368:Aged; D004938:Esophageal Neoplasms / Q000150:complications / Q000601:surgery; D016629:Esophagectomy / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D013964:Thyroid Neoplasms / Q000150:complications / Q000601:surgery; D013965:Thyroidectomy / Q000379:methods; D014132:Trachea / Q000601:surgery*; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery*