Tracheal Reconstruction: Indications and Techniques

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Abstract
Obstructive lesions of the trachea offer the chief indications for resection and reconstruction. These lesions include potentially curable primary neoplasms of the trachea; secondary neoplasms such as carcinoma of the thyroid; and benign strictures which are the rare result of infection, more common the late result of trauma; and most common the consequence of injuries following intubation for respiratory support. Anatomical studies show it to be possible to remove up to one half of the trachea and yet perform primary anastomosis. Upper tracheal lesions are best approached through the neck and upper mediastinum. Lower tracheal lesions are best approached through high-right thoracotomy. Nine patients with primary tumors of the trachea and 50 patients with benign stenosis have undergone resection and anastomosis. Results of reconstruction have been, in general, good.

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