Management of Cervical and Mediastinal Lesions of the Trachea

摘要: Although many tracheal tumors are benign or of low-grade malignancy, without local invasion metastases, cure has been rare because dependable methods wide circumferential excision and reconstruction have not available. In the thorax, it was believed that only four rings (2 cm) could be removed an end-to-end anastomosis done. Prosthetic replacements often fail, (1) leakage, with fatal mediastinitis; (2) stenosis, due to scarring fatigue prostheses; (3) recurrent tumor, inadequate resection; (4) hemorrhage, erosion by prostheses. neck, reconstructive complex, slow heal, many-staged. Excision trachea replacement—with permanent end-tracheostomy—is satisfactory when a functional larynx remains. Review past experience 32 primary treated at Massachusetts General Hospital Eye Ear Infirmary, Boston, during period 25 years reveals