Mediastinal tracheostomy

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  • Maeda Akiteru
    Department of Otolaryngology, Iizuka Hospital Department of Otolaryngology and Head and Neck surgery, Kurume University School of Medicine
  • Watanabe Masayuki
    Department of Surgery, Iizuka Hospital
  • Yamauchi Toshihiko
    Department of Plastic Surgery, Iizuka Hospital
  • Nakashima Tadashi
    Department of Otolaryngology and Head and Neck surgery, Kurume University School of Medicine

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Other Title
  • 縦隔気管孔形成手術症例の検討

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Abstract

Between April 2006 and January 2008 we experienced 8 cases of mediastinal tracheostomy, and performed a retrospective analysis of the operative procedures and complications. In 6 patients the trachea was transposed to a position above the innominate artery, and in 2 patients the trachea was transposed to the right of the innominate artery. We used the pectoralis major myocutaneous flap for repositioning the major vessels and mediastinum around the tracheostoma. Complications involved a partial necrosis of the tracheal wall in 3 patients, and respiratory failure in 4 patients. In mediastinal tracheostomy it is essential to keep a sufficient supply of blood to the tracheal stump and to protect the major arteries, using a muscle flap if necessary.

Journal

  • Toukeibu Gan

    Toukeibu Gan 34 (3), 440-443, 2008

    Japan Society for Head and Neck Cancer

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