Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-28T14:35:38.306Z Has data issue: false hasContentIssue false
  • English
  • Français

Endoscopic technique to mark the site of tracheal stenosis for resection

Published online by Cambridge University Press:  01 May 2007

G Lichtenberger ,
C Sittel ,
A L Merati  and
Á Reményi
G Lichtenberger*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Szent Rókus Hospital and Institutions, Budapest, Hungary
C Sittel
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, University Heidelberg, Germany
A L Merati
Affiliation:
Division of Laryngology, Department of Otolaryngology and Communication Sciences, Surgical Service, Zablocki Veterans Affairs Medical Center, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Á Reményi
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Szent Rókus Hospital and Institutions, Budapest, Hungary
*
Address for correspondence: Dr György Lichtenberger, Professor and Chairman, Dept of Otorhinolaryngology – Head and Neck Surgery, Szent Rókus Hospital and Institutions, Gyulai Pál u2, H-1085 Budapest, Hungary. Fax: (36 1) 235 6671 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

It is difficult to precisely localise the extent of the diseased segment on the external aspect of a stenotic trachea. A technique has been developed of marking the upper margin of stenosis, in order to open the airway at the appropriate level during segmental resection.

Materials and methods:

Prior to the open reconstructive procedure, the stenosis is visualised using microlaryngoscopy. An endo-extraluminal technique is used to drive a suture from inside out through the skin; this then serves to mark the exact top margin of the stenotic segment. This suture serves as a guide for the surgeon during the open approach to tracheal resection.

Results:

This technique was performed in 16 cases, and allowed precise localisation of the stenosis in each case.

Conclusion:

Transcutaneous localisation of laryngotracheal stenosis, using the Lichtenberger device, is an easy and reliable technique requiring a minimum of additional time.

Keywords

TracheaCricoidPathologic ConstrictionOtorhinolaryngologic Surgical Procedures
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 8 , August 2007 , pp. 790 - 793
Copyright
Copyright © JLO (1984) Limited 2007

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.)

Footnotes

Presented at the 5th Congress of the European Laryngological Society, 10–13 July 2004, Lisbon, Portugal.

References

1Cotton, R. Management of subglottic stenosis in infancy and childhood. Review of a consecutive series of cases managed by surgical reconstruction. Ann Otol Rhinol Laryngol 1978;87:649–57CrossRefGoogle ScholarPubMed
2Rethi, A. An operation for cicatrical stenosis of the larynx. J Laryngol Otol 1956;70:283–93CrossRefGoogle Scholar
3Grillo, HC, Mathisen, DJ, Wain, JC. Laryngotracheal resection and reconstruction for subglottic stenosis. Ann Thorac Surg 1992;53:54–63CrossRefGoogle ScholarPubMed
4Pearson, FG. Technique of management of subglottic stenosis. Chest Surg Clin Nam 1996;6:683–92Google ScholarPubMed
5Monnier, P, Lang, F, Savary, M. Partial cricotracheal resection for pediatric subglottic stenosis: a single institution's experience in 60 cases. Eur Arch Otorhinolaryngol 2003;260:295–7CrossRefGoogle ScholarPubMed
6Merati, AL, Rieder, AA, Patel, NJ, Park, D, Girod, D. Does successful tracheal resection require releasing maneuvers? Otolaryngol Head Neck Surg 2005;133:372–6CrossRefGoogle ScholarPubMed
7Lichtenberger, G. Endoscopic technique to mark the site of the stenosis for cricotracheal and tracheal resection and anastomosis. Abstracts of the 5th Congress, European Laryngological Society, Lisbon, 10–13 July 2004.Google Scholar
8Lichtenberger, G, Toohill, RJ. Technique of endo-extralaryngeal suture lateralization for bilateral abductor vocal cord paralysis. Laryngoscope 1997;107:1281–3CrossRefGoogle ScholarPubMed
9Lichtenberger, G. Reversible immediate and definitive lateralization of paralyzed vocal cords. Eur Arch Otorhinolaryngol 1999;256:407–11CrossRefGoogle ScholarPubMed
10Lichtenberger, G, Toohill, RJ. New keel fixing technique for endoscopic repair of anterior commissure webs. Laryngoscope 1994;104:771–4CrossRefGoogle ScholarPubMed
11Lichtenberger, G. Endoscopic microsurgical management of scars in the posterior commissure and interarytenoid region resulting in vocal cord pseudoparalysis. Eur Arch Otorhinolaryngol 1999;256:412–14CrossRefGoogle ScholarPubMed