2020 Volume 71 Issue 1 Pages 33-38
We report two surgical cases of spinal deformity that were at high risk of tracheo-innominate artery fistula in conventional tracheostomy management. In both cases, good clinical courses were obtained by devising surgical methods for airway securing. Case 1 was a case of tracheomalacia due to progression of scoliosis. A U-shaped sternum resection was performed to treat tracheal stenosis, and a central-part laryngectomy was performed simultaneously to prevent aspiration. Case 2 was a case of kyphotic deformity with high-level innominate artery. To relieve dyspnea caused by glottic cancer, cricoid fenestration was performed. Both types of surgery were minimally invasive and safe to perform.
