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J Thorac Cardiovasc Surg 2009;137:e44-e46
© 2009 The American Association for Thoracic Surgery

Brief Communication

Latero-lateral slide tracheoplasty for upper airway stenosis: An 8-year follow-up

Erdal Tasci, MDa, Halil Ciftci, MDa, Farzin Periovi, MDb, Cemal Asim Kutlu, MD, FETCSa,*

a Department of Thoracic Surgery, Sureyyapasa Chest Diseases and Chest Surgery Teaching and Research Hospital, Istanbul, Turkey
b Medica Imaging Centre, Istanbul, Turkey

Received for publication February 5, 2008; accepted for publication March 20, 2008.

* Address for reprints: Cemal Asim Kutlu, MD, FETCS, Medkon, Hakki Yeten Cad. 12/12, Sisli 34394, Istanbul, Turkey. (Email: cakutlu@tnn.net).

The first 20% of the full text of this article appears below.

Since slide tracheoplasty (ST) was defined in 1989,1Go the scope of the technique has been further extended, as evidenced by reported cases of satisfactory outcomes. ST has been used for almost all types of long-segment tracheal stenosis, including "bilateral main bronchus stenosis"2Go and "congenital laryngeal atresia (slide thyrocricotracheoplasty)."3Go We slightly modified the original technique and performed latero-lateral ST in a patient who presented with an acquired long-segmental stenosis. We report the patients' long-term follow-up.

Clinical Summary

A 46-year-old man presented with a long-segment stenosis involving the subglottic area and proximal trachea caused by tracheobronchopathia osteochondroplastica. Spirometry showed a forced expiratory volume in 1 second of 1.46 L (43% predicted) and a forced vital capacity of 3.06 L (81% predicted). Bronchoscopy relieved that the stenosis involved the subglottic area and proximal half of the trachea. Modified ST was undertaken via median sternotomy, and the anterior surface of the trachea was exposed to adjust . . . [Full Text of this Article]






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