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June 1992

Western Section Meeting of the Triological Society, January 11 and 12, 1992

Arch Otolaryngol Head Neck Surg. 1992;118(6):569-570. doi:10.1001/archotol.1992.01880060017002

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Numbers in parentheses refer to the order in which each talk was given at the meeting.

Tracheal stenosis down to the thoracic inlet can be resected using the maximum supraglottic and subglottic release techniques described by Steven Peskind, MD, and his colleagues, Los Angeles, Calif. Although not all cases of tracheal narrowing require resection, when indicated a 2.5-cm tracheal defect can be handled safely using jet ventilation anesthesia to facilitate suturing the anastomosis and circummandibular sutures to the skin of the chest to maintain flexion of the neck postoperatively. The only significant complication reported was that two of 14 patients required tracheotomy postoperatively. (1)

Planned intraoperative radiotherapy was described in a preliminary report by Mark Singer, MD, University of California, San Francisco. He described giving 15 to 20 Gy of radiation through the open wound after moving the patient from the operating room to the radiotherapy suite with a sterile

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