Transcervical tracheal resection

Abstract

Postintubation subglottic tracheal stenosis remains a prevalent complication in patients who require prolonged periods of intubation, with an incidence of up to 11%. Transcervical tracheal resection and reconstruction remain the gold standards for definitive treatment of stenotic regions that fail trials of non-surgical interventions, including local steroid injections, cryotherapy and balloon dilation. Despite its high success rate, it is one of the more technically difficult procedures in thoracic surgery. In this case report, we document our approach to a patient with severe symptomatic tracheal stenosis operatively managed with meticulous dissection utilizing a low collar incision, transcervical tracheal resection and a primary anastomosis.

Keywords: Tracheal stenosis; Tracheal defect repair; Tracheal resection.