Hostname: page-component-78c5997874-v9fdk Total loading time: 0 Render date: 2024-11-15T11:16:46.648Z Has data issue: false hasContentIssue false
  • English
  • Français

Excision of adenoid cystic carcinoma of the cervical trachea via an anterior castellated approach

Published online by Cambridge University Press:  29 June 2007

B. E. J. Hartley ,
J. J. Fagan  and
P. H. Rhŷs-Evans
B. E. J. Hartley*
Affiliation:
Head and Neck Unit, The Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
J. J. Fagan
Affiliation:
Head and Neck Unit, The Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
P. H. Rhŷs-Evans
Affiliation:
Head and Neck Unit, The Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
*
Mr B. E. J. Hartley, ENT Registrar, The Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London WC1X 8DA.
Get access Rights & Permissions [Opens in a new window]

Abstract

Adenoid cystic carcinoma of the cervical trachea is rare and its diagnosis and surgical management challenging. We report a case with an unusual presentation and discuss the diagnosis and management. The preferred surgical management is tracheal resection, however this is often not feasible and many alternative techniques have been used. Here an anterior castellated approach is described, a modification of that more commonly used for benign tracheal strictures. We found it gave excellent access to the posterior tracheal wall which we feel is superior to a straight vertical tracheal incision. It also facilitates a tracheal widening procedure if indicated, and safeguards the recurrent laryngeal nerves which are particularly vulnerable in the cervical part of the trachea.

Keywords

Tracheal neoplasmsCarcinoma, adenoid cysticSurgery
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 8 , August 1995 , pp. 774 - 776
Copyright
Copyright © JLO (1984) Limited 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

De Haan, L., De Mulder, P. H. M., Vermoken, J. B., Shornagel, J. H., Vermey, A., Verweij, J. (1992) Cisplatin based chemotherapy in advanced adenoid cystic carcinoma of the head and neck. Head and Neck 14: 273–277.CrossRefGoogle ScholarPubMed
Evans, J. N. G., Todd, G. B. (1974) Laryngotracheoplasty. Journal of Laryngology and Otology 88: 589–597.CrossRefGoogle ScholarPubMed
Ferlito, A. (1974) Adenoid cystic carcinoma. In: Cancer of the Larynx. Vol. 1. CRC Press Inc., Florida, p 165.Google Scholar
Grillo, H. C. (1982) Management of tracheal tumours. American Journal of Surgery 143: 697–699.CrossRefGoogle Scholar
Grillo, H. C., Mathisen, D. J. (1990) Primary tracheal tumours: treatment and results. Annals of Thoracic Surgery 49: 69–77.CrossRefGoogle Scholar
Kleinsasser, O., (1988) Tumors of the seromucinous glands. In: Tumours of the Larynx and Hypopharynx. Thieme Medical Publishers Inc., New York, p 265.Google Scholar
Siefert, O. (1986) Salivary tumours of epithelial origin. In: Diseases of the Salivary Glands. (Siefert, G., Miehkle, A., Haubrick, J., Chilla, R., eds.), Thieme Medical Publishers Inc., New York, p 239.Google Scholar
Shramm, V. L., Sroden, C., Myers, E. N. (1981) Cisplatin therapy for adenoid cystic carcinoma. Archives of Otolaryngology 107: 739–741.CrossRefGoogle Scholar
Suen, J. Y., Johns, M. E. K. (1982) Chemotherapy for salivary gland cancer. Laryngoscope 92: 235–239.CrossRefGoogle ScholarPubMed