RESULTS OF EXTENDED RESECTION OF TUMORS INVOLVING THE CERVICAL PART OF THE TRACHEA

  • 1 January 1980
    • journal article
    • research article
    • Vol. 151  (4) , 491-496
Abstract
Extended resection of the trachea with construction of a mediastinal tracheostomy was performed upon 21 patients with primary or recurrent carcinoma involving the cervical part of the trachea. In 12 patients, major complications developed, and 8 died of these complications. Necrosis of skin flaps and tracheal wall, leading to sepsis of the mediastinum and rupture of major vessels, were the 2 most common complications and causes of death. Three patients remained free of disease for 134,77 and 48 mo. This procedure should be limited to patients with a tumor localized to the cervical portion of the trachea and well vascularized skin flaps, myocutaneous flaps, should be used to resurface the mediastinum and base of the neck as a means of preventing most of the complications reported in this investigation.

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