Partial cricotracheal resection with tracheal intussusception and cricoarytenoid joint mobilization: Early experience in a new technical variant

Sandu, Kishore; Monnier, Philippe

doi:10.1002/lary.22138

Cited by 11 publications

(13 citation statements)

References 6 publications

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“…However, this is feasible for small (less than 3 rings) circular defects [12], and a larger area of invasion may limit the feasibility of partial tracheal resection because it may lead to kinking or stenosis of the trachea after repair. Contraindications include extensive involvement of the trachea, such that 6 or more tracheal rings need to be resected or simultaneous invasion of the esophagus occurs.…”

Section: Discussionmentioning

confidence: 99%

Sparing Surgery for the Successful Treatment of Thyroid Papillary Carcinoma Invading the Trachea: A Case Report

Kulbakin¹,

Chekalkin²,

Muhamedov³

et al. 2016

Case Rep Oncol

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Published reports on salvage treatment for trachea reconstruction after total thyroidectomy or partial tracheotomy are available, some of them using structures of the trachea itself, auricular cartilage, a musculocutaneous flap, or other methods. In our report, we emphasize the importance of a search for a new material and approach for sparing surgery. The purpose of this article is to describe a case of a successful sparing surgery in a patient with advanced thyroid papillary carcinoma invading the trachea. After total thyroidectomy in 2012, partial resection of the trachea was performed in 2014. The lesion defect was 5.5 × 2.3 cm in size, located between 4 (2nd–6th) tracheal cartilaginous rings and involving about a semicircumference. It was reconstructed with the aid of the knitted TiNi-based mesh endograft, which has been prefabricated in the sternocleidomastoid muscle and further covered with the skin draped over the wound. The tracheostoma was fully closed 6 weeks after the surgery. There were neither side effects nor complications. This kind of tracheal surgery for extensive lesions demonstrates good functional and cosmetic outcomes.

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Section: Discussionmentioning

confidence: 99%

Sparing Surgery for the Successful Treatment of Thyroid Papillary Carcinoma Invading the Trachea: A Case Report

Kulbakin¹,

Chekalkin²,

Muhamedov³

et al. 2016

Case Rep Oncol

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“…The technique of PCTR involves resection of the anterior cricoid arch, thinning and flattening of the posterior cricoid plate and performing an anastomosis between the thyroid cartilage and the trachea. The extended variant of CTR is advocated for severe SGS with additional posterior or trans‐glottic stenoses, and additionally requires a full laryngofissure, posterior cricoid split and expansion using a rib cartilage graft and a temporary laryngeal stent …”

Section: Discussionmentioning

confidence: 99%

“…In order to prevent the late sequel and complications in such patients, a definitive (one‐step) surgical solution is preferably performed as soon as possible in carefully selected patients. In the case of high grade congenital subglottic stenosis endoscopic interventions are not recommended . According to the literature, nowadays laryngotracheal reconstruction (LTR), partial cricotracheal (PCTR), or extended cricotracheal resection (ECTR) are the most recommended interventions for severe grades of glotto‐subglottic stenosis (GSGS).…”

Section: Introductionmentioning

confidence: 99%

“…According to the literature, nowadays laryngotracheal reconstruction (LTR), partial cricotracheal (PCTR), or extended cricotracheal resection (ECTR) are the most recommended interventions for severe grades of glotto‐subglottic stenosis (GSGS). However, these complex procedures require significant tissue resection, airway expansion by rib cartilage grafts, and stent implantation . To maintain the airway stability extended resection of the cartilaginous framework should be limited to allow tension‐free anastomosis, and if graft implantation is necessary, well‐vascularized, easily available, regional tissue is desirable.…”

Section: Introductionmentioning

confidence: 99%

“…In the case of high grade congenital subglottic stenosis endoscopic interventions are not recommended. 11,12 According to the literature, nowadays laryngotracheal reconstruction (LTR), partial cricotracheal (PCTR), or extended cricotracheal resection (ECTR) are the most recommended interventions for severe grades of glottosubglottic stenosis (GSGS). However, these complex procedures require significant tissue resection, airway expansion by rib cartilage grafts, and stent implantation.…”

Section: Introductionmentioning

confidence: 99%

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Slide laryngotracheoplasty for congenital subglottic stenosis in newborns and infants

et al. 2019

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Objectives Subglottic stenosis is the most common laryngeal anomaly necessitating tracheostomy in early childhood. Crico‐ and laryngotracheal resection and laryngotracheal reconstruction—usually with autologous cartilage graft implantation—are the most effective treatments. These surgical techniques are obviously challenging in neonatal age and infancy. However, a reconstructive surgery performed at early age may prevent the sequel of complications. Methods The authors present their novel surgical method for congenital subglottic stenosis. Seven infants had inspiratory stridor; two of them had to be intubated and one required tracheostomy. Laryngotracheoscopy, CT or MRI revealed subglottic stenosis: Cotton‐Myer grade II in one, and grade III in six cases. Slide laryngotracheoplasty was performed before 5 months of age (10–130 days), with a follow‐up period of average 36 months (4–80 months). Phoniatry and quality of life questionnaire were used for evaluation of postoperative results. Results Slide laryngotracheoplasty in the neonatal age made the temporary tracheostomy unnecessary. All babies remained intubated for 3 to 10 days with an uncuffed tracheal tube. After extubation, no dyspnea or swallowing disorder occurred. A subjective quality of life questionnaire, laryngotracheoscopy, clinical growth charts showed satisfactory functional results. Conclusions Single‐stage slide laryngotracheoplasty might be a favorable solution for subglottic stenosis, even in early childhood. In one step, the airway can be maintained without stenting and tracheostomy. Level of Evidence 4 Laryngoscope, 130:E199–E205, 2020

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The glottic–subglottic laryngectomy: Surgical technique, oncological, and functional outcomes

Bertolin

Lionello

Baldovin

et al. 2021

Journal of Surgical Oncology

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Objectives: The aim of this article was to describe the surgical technique and report the oncological and functional outcomes of the partial glottic-subglottic laryngectomy (GSL).Methods: A retrospective review of the clinical charts of patients who underwent GSL for laryngeal cancer from 1989 to 2020 at the Otolaryngology Unit of the Vittorio Veneto Hospital, a referral center for laryngeal cancer treatment. Results:The present article considered 36 patients who were submitted to GSL for laryngeal cancer. The pathological exam found squamous cell carcinoma (SCC) in 16 cases, adenoid-cystic carcinoma (ACC) in 9 cases, laryngeal chondrosarcoma in 8 cases, 1 giant cell carcinoma, 1 carcinosarcoma, and 1 metastasis of colon adenocarcinoma. Considering the 16 SCC cases we observed a recurrence rate of 31%, the overall survival (OS) and disease-specific survival (DSS) were 75%. The 9 ACC cases had a recurrence rate of 23% and OS/DSS of 88%. In the 8 chondrosarcomas no relapses were reported and the OS/DSS were 100%. Among the patients without recurrence of the disease, a definitive decannulation was achieved in 21 cases (75%). Conclusions:The GSL represents a valid alternative to total laryngectomy in selected cases of laryngeal cancer involving the glottic and subglottic regions.

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Partial cricotracheal resection with tracheal intussusception and cricoarytenoid joint mobilization: Early experience in a new technical variant

Cited by 11 publications

References 6 publications

Sparing Surgery for the Successful Treatment of Thyroid Papillary Carcinoma Invading the Trachea: A Case Report

Sparing Surgery for the Successful Treatment of Thyroid Papillary Carcinoma Invading the Trachea: A Case Report

Slide laryngotracheoplasty for congenital subglottic stenosis in newborns and infants

The glottic–subglottic laryngectomy: Surgical technique, oncological, and functional outcomes

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