Stenosis of the trachea, a frequent aftermath of both injury and disease, presents a formidable challenge to the surgeon. A variety of corrective methods have not yielded uniformly satisfactory results.* This report of successful resection and end-to-end anastomosis in two cases is submitted as an addition to the total experience that begins to justify a change in previous attitude.
Many facts attest to the rationale of this approach. Reports of success with immediate repair of complete division of the trachea or major bronchi without subsequent stricture formation are not uncommon.† Those few who have survived such trauma without this treatment have developed, almost invariably, some degree of stricture. When this has been incomplete and distal to the carina, recurrent infection usually has required major pulmonary resection. Healing with complete postcarinal obstruction has caused variable degrees of pulmonary insufficiency proportional to the volume of lung excluded and the time and duration
MISCALL L, McKITTRICK JB, GIORDANO RP, NOLAN RB. Stenosis of Trachea Resection and End-to-End AnastomosisReport of Two Cases. Arch Surg. 1963;87(5):726-731. doi:10.1001/archsurg.1963.01310170012004