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. 1985 Jan;40(1):32–37. doi: 10.1136/thx.40.1.32

Experiences with prosthetic reconstruction of the trachea and bifurcation.

H Toomes, G Mickisch, I Vogt-Moykopf
PMCID: PMC459974  PMID: 3969653

Abstract

Extensive tracheal resections were performed to avoid imminent asphyxia in nine patients. Airway continuity was restored with either a straight or a bifurcated Neville prosthesis. One patient had progressive perichondritis and the remaining eight had advanced malignancy. Three patients died of complications due to the prosthesis, 15 days, seven months, and 10 months after operation. Five patients from their underlying disease and one patient is alive 13 months after reconstruction.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ATAMANYUK M. Y., MELROSE D. G. THE TREATMENT OF CIRCUMFERENTIAL DEFECTS OF THE TRACHEA. Br J Surg. 1965 Jan;52:59–65. doi: 10.1002/bjs.1800520114. [DOI] [PubMed] [Google Scholar]
  2. BEALL A. C., Jr, HARRINGTON O. B., GREENBERG S. D., MORRIS G. C., Jr, USHER F. C. Tracheal replacement with heavy Marlex mesh. Circumferential replacement of the cervical trachea. Arch Surg. 1962 Apr;84:390–396. doi: 10.1001/archsurg.1962.01300220014002. [DOI] [PubMed] [Google Scholar]
  3. BEATTIE E. J., Jr, BLADES B., KESHISHIAN J. M. Tracheal reconstruction. J Thorac Surg. 1956 Dec;32(6):707-25; discussion, 725-7. [PubMed] [Google Scholar]
  4. BELSEY R. Resection and reconstruction of the intrathoracic trachea. Br J Surg. 1950 Oct;38(150):200–205. doi: 10.1002/bjs.18003815008. [DOI] [PubMed] [Google Scholar]
  5. BUCHER R. M., BURNETT W. E., ROSEMOND G. P. Experimental reconstruction of tracheal and bronchial defects with stainless steel wire mesh. J Thorac Surg. 1951 Jun;21(6):572–583. [PubMed] [Google Scholar]
  6. CARTER M. G., STRIEDER J. W. Resection of the trachea and bronchi; and experimental study. J Thorac Surg. 1950 Oct;20(4):613–passim. [PubMed] [Google Scholar]
  7. COTTON B. H., HILLS B., PENIDO J. R. F. Resection of the trachea for carcinoma; report of two cases. J Thorac Surg. 1952 Sep;24(3):231–245. [PubMed] [Google Scholar]
  8. CRAIG R. L., HOLMES G. W., SHABART E. J. Tracheal resection and replacement with a prosthesis. J Thorac Surg. 1953 Apr;25(4):384–396. [PubMed] [Google Scholar]
  9. Clarke D. B. Palliative intubation of the trachea and main bronchi. J Thorac Cardiovasc Surg. 1980 Nov;80(5):736–741. [PubMed] [Google Scholar]
  10. Dedo H. H., Fishman N. H. Laryngeal release and sleeve resection for tracheal stenosis. Ann Otol Rhinol Laryngol. 1969 Apr;78(2):285–296. doi: 10.1177/000348946907800208. [DOI] [PubMed] [Google Scholar]
  11. Demos N. J., Mitnick H., McCally D., Feinberg E., McKeon J., Timmes J. J. Tracheal regeneration in long-term survivors with silicone prosthesis. Ann Thorac Surg. 1973 Sep;16(3):293–300. doi: 10.1016/s0003-4975(10)64996-x. [DOI] [PubMed] [Google Scholar]
  12. EDGERTON M. T., ZOVICKIAN A. Reconstruction of the trachea and infraglottic larynx. Plast Reconstr Surg (1946) 1954 Mar;13(3):167–192. doi: 10.1097/00006534-195403000-00003. [DOI] [PubMed] [Google Scholar]
  13. EKESTROM S. Experimental reconstruction of the intrathoracic trachea; a preliminary report of experimental reconstruction of trachea in dogs with fascia supported by teflon. Acta Chir Scand. 1956 Mar 10;110(5):367–372. [PubMed] [Google Scholar]
  14. FERGUSON D. J., WILD J. J., WANGENSTEEN O. H. Experimental resection of the trachea. Surgery. 1950 Sep;28(3):597–619. [PubMed] [Google Scholar]
  15. GEBAUER P. W. Further experiences with dermal grafts for healed tuberculous stenosis of the bronchi and trachea. J Thorac Surg. 1950 Oct;20(4):628–passim. [PubMed] [Google Scholar]
  16. Graziano J. L., Spinazzola A., Neville W. E. Prosthetic replacement of the tracheal carina. Ann Thorac Surg. 1967 Jul;4(1):1–11. doi: 10.1016/s0003-4975(10)66472-7. [DOI] [PubMed] [Google Scholar]
  17. Grillo H. C. Surgical treatment of postintubation tracheal injuries. J Thorac Cardiovasc Surg. 1979 Dec;78(6):860–875. [PubMed] [Google Scholar]
  18. HOLLE F. Uber die Heilungsbedingungen des Tracheobronchialbaumes und seinen plastischen Ersatz; eine tierexperimentelle Studie. Langenbecks Arch Klin Chir Ver Dtsch Z Chir. 1953;277(1):1–35. [PubMed] [Google Scholar]
  19. Hoffmann T. H., Ransdell H. T. Comparison of lobectomy and wedge resection for carcinoma of the lung. J Thorac Cardiovasc Surg. 1980 Feb;79(2):211–217. [PubMed] [Google Scholar]
  20. KIRILUK L. B., MERENDINO K. A. An experimental evaluation in the dog of bronchial transplantation, bronchial, tracheal and tracheobronchial resection with reconstruction. Ann Surg. 1953 Apr;137(4):490–503. doi: 10.1097/00000658-195304000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. KRAMISH D., MORFIT H. M. THE USE OF A TEFLON PROSTHESIS TO BRIDGE COMPLETE SLEEVE DEFECTS IN THE HUMAN TRACHEA. Am J Surg. 1963 Nov;106:704–708. doi: 10.1016/0002-9610(63)90388-x. [DOI] [PubMed] [Google Scholar]
  22. Knothe W. Bronchiektasen und Lungenabszesse. Thoraxchir Vask Chir. 1967 Oct;15(5):488–498. doi: 10.1055/s-0028-1100662. [DOI] [PubMed] [Google Scholar]
  23. MICHELSON E., SOLOMON R., MAUN L., RAMIREZ J. Experiments in tracheal reconstruction. J Thorac Cardiovasc Surg. 1961 Jun;41:748–759. [PubMed] [Google Scholar]
  24. MORFIT H. M., NEERKEN A. J., PREVEDEL A., LIDDLE E. B., KIRCHER L. Sleeve resections of the trachea; experimental studies on regenerative capacity and principles of reconstruction and repair. AMA Arch Surg. 1955 May;70(5):654–661. [PubMed] [Google Scholar]
  25. Moghissi K. Tracheal reconstruction with a prosthesis of marlex mesh and pericardium. J Thorac Cardiovasc Surg. 1975 Apr;69(4):499–506. [PubMed] [Google Scholar]
  26. Montgomery W. W. Silicone tracheal T-tube. Ann Otol Rhinol Laryngol. 1974 Jan-Feb;83(1):71–75. doi: 10.1177/000348947408300112. [DOI] [PubMed] [Google Scholar]
  27. Neville W. E., Bolanowski P. J., Soltanzadeh H. Prosthetic reconstruction of the trachea and carina. J Thorac Cardiovasc Surg. 1976 Oct;72(4):525–538. [PubMed] [Google Scholar]
  28. Neville W. E., Hamouda F., Andersen J., Dwan F. M. Replacement of the intrathoracic trachea and both stem bronchi with a molded Silastic prosthesis. J Thorac Cardiovasc Surg. 1972 Apr;63(4):569–576. [PubMed] [Google Scholar]
  29. PRESSMAN J. J. Experimental tracheal implants. Ann Otol Rhinol Laryngol. 1953 Sep;62(3):791–802. doi: 10.1177/000348945306200317. [DOI] [PubMed] [Google Scholar]
  30. Pearson F. G., Henderson R. D., Gross A. E., Ginsberg R. J., Stone R. M. The reconstruction of circumferential tracheal defects with a porous prosthesis. An experimental and clinical study using heavy Marlex mesh. J Thorac Cardiovasc Surg. 1968 May;55(5):605–616. [PubMed] [Google Scholar]
  31. Pearson F. G., Thompson D. W., Weissberg D., Simpson W. J., Kergin F. G. Adenoid cystic carcinoma of the trachea. Experience with 16 patients managed by tracheal resection. Ann Thorac Surg. 1974 Jul;18(1):16–29. doi: 10.1016/s0003-4975(10)65713-x. [DOI] [PubMed] [Google Scholar]
  32. Poticha S. M., Lewis F. J. Experimental replacement of the trachea. J Thorac Cardiovasc Surg. 1966 Jul;52(1):61–67. [PubMed] [Google Scholar]
  33. ROB C. G., BATEMAN G. H. Reconstruction of the trachea and cervical oesophagus; preliminary report. Br J Surg. 1949 Oct;37(146):202-5, illust. doi: 10.1002/bjs.18003714609. [DOI] [PubMed] [Google Scholar]
  34. TABER R. E., TOMATIS L. Experimental and clinical utilization of a prosthesis for replacement of the trachea. AMA Arch Surg. 1958 Oct;77(4):576–583. doi: 10.1001/archsurg.1958.04370010108010. [DOI] [PubMed] [Google Scholar]
  35. Weidauer H., Vogt-Moykopf I., Toomes H. Der prothetische Tracheaersatz mit Kunststoff. Laryngol Rhinol Otol (Stuttg) 1981 Jan;60(1):29–32. [PubMed] [Google Scholar]
  36. Westaby S., Jackson J. W., Pearson F. G. A bifurcated silicone rubber stent for relief of tracheobronchial obstruction. J Thorac Cardiovasc Surg. 1982 Mar;83(3):414–417. [PubMed] [Google Scholar]

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