Clinical Aspect for Tracheobronchial Surgery

End-to-end Anastomosis of Thyroid Catilage to Trachea for the Case of Difficult Decannulation

Abstract

A 69-year-old Japanese male had been suffered from difficult decannulation for 9 months which was caused by subglottic and tracheal stenosis after high tracheostomy. He was successfully operated by resection of cricoid ring and trachea in 3 cartilage rings length, and by end-to-end anastomosis of thyroid cartilage to trachea. The patient was uneventful postoperatively, and is now conducting an usual life except for the rehabilitation for Vernicke-Man's contracture after operation of intracranial aneurysm.
As the experiences of this operative technique are limited in the world yet, there may occurred some problems after further increase of this type operations. From this standpoint, the technical problems and the indication of this operation were discussed.