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Endoscopic technique to mark the site of tracheal stenosis for resection

Published online by Cambridge University Press:  01 May 2007

G Lichtenberger ,
C Sittel ,
A L Merati  and
Á Reményi
G Lichtenberger*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Szent Rókus Hospital and Institutions, Budapest, Hungary
C Sittel
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, University Heidelberg, Germany
A L Merati
Affiliation:
Division of Laryngology, Department of Otolaryngology and Communication Sciences, Surgical Service, Zablocki Veterans Affairs Medical Center, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Á Reményi
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Szent Rókus Hospital and Institutions, Budapest, Hungary
*
Address for correspondence: Dr György Lichtenberger, Professor and Chairman, Dept of Otorhinolaryngology – Head and Neck Surgery, Szent Rókus Hospital and Institutions, Gyulai Pál u2, H-1085 Budapest, Hungary. Fax: (36 1) 235 6671 E-mail: lichtenberger.orl@rokus.hu
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Abstract

Background:

It is difficult to precisely localise the extent of the diseased segment on the external aspect of a stenotic trachea. A technique has been developed of marking the upper margin of stenosis, in order to open the airway at the appropriate level during segmental resection.

Materials and methods:

Prior to the open reconstructive procedure, the stenosis is visualised using microlaryngoscopy. An endo-extraluminal technique is used to drive a suture from inside out through the skin; this then serves to mark the exact top margin of the stenotic segment. This suture serves as a guide for the surgeon during the open approach to tracheal resection.

Results:

This technique was performed in 16 cases, and allowed precise localisation of the stenosis in each case.

Conclusion:

Transcutaneous localisation of laryngotracheal stenosis, using the Lichtenberger device, is an easy and reliable technique requiring a minimum of additional time.

Keywords

TracheaCricoidPathologic ConstrictionOtorhinolaryngologic Surgical Procedures
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 8 , August 2007 , pp. 790 - 793
Copyright
Copyright © JLO (1984) Limited 2007

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Footnotes

Presented at the 5th Congress of the European Laryngological Society, 10–13 July 2004, Lisbon, Portugal.

References

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