Abstract
A 61 year old female patient suffered from complete obstruction on the portion of the cricoid as a result of high tracheotomy following operation for esophageal carcinoma. Various kinds of both operative and palliative treatments were performed without success. About one year later, the operative procedures were performed by a block excision of the cricoid cartilage and first tracheal ring, and with reanastomosis of the trachea to the remaining larynx over a stent. The important points in the operation are as follows:
1) Laryngofissure is mandatory to adjust the diameter in the subglottic space with that in the trachea.
2) The division of the inferior constrictor muscle is also necessary. This procedure allows the larynx tilt forward. This change in position is advantageous when the apposition is performed.
