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Annals of Cardiothoracic Surgery

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https://www.readbyqxmd.com/read/29707513/tracheal-tumors
#1
Christopher Harris, Christopher Cao, Beth Croce, Christopher Cao
No abstract text is available yet for this article.
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707512/surgical-management-of-tracheoesophageal-fistula
#2
EDITORIAL
Asishana Osho, Uma Sachdeva, Cameron Wright, Ashok Muniappan
No abstract text is available yet for this article.
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707511/carinal-resections
#3
EDITORIAL
Leonidas Tapias, Michael Lanuti
No abstract text is available yet for this article.
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707510/tracheal-stenosis-resection-and-reconstruction
#4
EDITORIAL
Hugh G Auchincloss, Douglas J Mathisen
No abstract text is available yet for this article.
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707509/idiopathic-subglottic-stenosis-techniques-and-results
#5
REVIEW
Andrea L Axtell, Douglas J Mathisen
Idiopathic subglottic stenosis is a rare condition of unknown etiology characterized by circumferential stenosis in the subglottic larynx and upper trachea. Historically, patients were treated with dilation or ablation, however this approach has proven to be largely palliative and often leads to recurrence and the need for tracheostomy. A single-staged laryngotracheal resection and reconstruction is now the preferred definitive treatment for idiopathic subglottic stenosis and can be performed with excellent patient outcomes and rare subsequent progression of the disease...
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707508/tracheal-release-maneuvers
#6
Brett Broussard, Douglas J Mathisen
Tracheal resection and reconstruction has been slow to develop in the field of thoracic surgery. The ability to perform a low tension, well-vascularized anastomosis with good outcomes has improved with understanding of tracheal blood supply and the ability to perform tracheal release maneuvers. Laryngeal and suprahyoid release maneuvers can be helpful for cervical tracheal resections, while hilar and pericardial release maneuvers can be beneficial in thoracic tracheal resections. Simple maneuvers such as neck flexion and dissection of the avascular pretracheal plane can also be used to improve anastomotic tension...
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707507/bioprosthetics-and-repair-of-complex-aerodigestive-defects
#7
Brooks Udelsman, Douglas J Mathisen, Harald C Ott
Aerodigestive defects involving the trachea, bronchi and esophagus are a result of prolonged intubation, operative complications, congenital defects, trauma, radiation and neoplastic disease. The vast majority of these defects may be repaired primarily. Rarely, due the size of the defect, underlying complexity, or unfavorable patient characteristics, primary repair is not possible. One alternative to primary repair is bioprosthetic repair. Materials such as acellular dermal matrix and aortic homograft have been used in a variety of applications, including closure of tracheal, bronchial and esophageal defects...
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707506/airway-stents
#8
Erik Folch, Colleen Keyes
Stents and tubes to maintain the patency of the airways are commonly used for malignant obstruction and are occasionally employed in benign disease. Malignant airway obstruction usually results from direct involvement of bronchogenic carcinoma, or by extension of carcinomas occurring in the esophagus or the thyroid. External compression from lymph nodes or metastatic disease from other organs can also cause central airway obstruction. Most malignant airway lesions are surgically inoperable due to advanced disease stage and require multimodality palliation, including stent placement...
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707505/acute-airway-management
#9
Nikhil Panda, Dean M Donahue
Acute airway management has challenged clinicians for nearly four millennia. History underscores the discoveries of surgeons and anesthesiologists, whose advances in technology and surgical technique have transformed management algorithms from primarily surgical tracheostomy, to transoral endotracheal intubation under direct laryngoscopy. Despite this progress and a better understanding of airway anatomy, physiology and pathogenesis of disease, the acute airway, whether obstructed, traumatically disrupted, or externally compressed, remains a life-threatening challenge...
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707504/tracheobronchoplasty-for-tracheomalacia
#10
Cameron D Wright, Douglas J Mathisen
Tracheobronchomalacia is an uncommon acquired disorder of the central airways. Common symptoms include dyspnea, constant coughing, inability to raise secretions and recurrent respiratory infections. Evaluation includes an inspiratory-expiratory chest computed tomography (dynamic CT), an awake functional bronchoscopy and pulmonary function studies. Patients with significant associated symptoms and severe collapse on CT and bronchoscopy are offered membraneous wall plication. Tracheobronchoplasty is performed through a right thoracotomy...
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707503/surgical-anatomy-of-the-trachea
#11
Paul W Furlow, Douglas J Mathisen
Anatomy as the foundation of surgery is a concept no better exemplified than by the history of tracheal surgery. Incremental advancements in our understanding of the trachea's position, structure, blood supply and adjacent organs each allowed for stepwise improvements in the thoracic surgeon's ability to address upper airway disease. As such, the mastery of tracheal anatomy is fundamental to those clinicians responsible for treating such ailments. In this article, tracheal anatomy is reviewed and points critical to the thoracic surgeon are highlighted...
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707502/overview-of-malignant-tracheal-tumors
#12
Maria Lucia L Madariaga, Henning A Gaissert
Malignant airway tumors present particular challenges for surgeons, namely: to distinguish symptoms from those of the more frequent benign airway diseases; to separate metastatic disease from the uncommon primary tumors; and to consider curative resection in appropriate candidates. Here, we present a critical review of tracheal malignant obstruction, focusing on the evaluation of a patient with malignant airway tumor, patient selection for resection and the predictors of long-term survival. The new development in primary tracheal tumors is an old story, that of making physicians aware that resection rates in epidemiologic studies remain low, mainly because opportunities for resection are missed...
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707501/prevention-and-management-of-complications-following-tracheal-resections-lessons-learned-at-the-massachusetts-general-hospital
#13
Luis F Tapias, Douglas J Mathisen
Tracheal surgery has developed and evolved over the last 50 years, becoming an integral part of the clinical practice of modern thoracic surgeons. Today, surgeons can safely and effectively operate on most patients suffering from post-intubation tracheal stenosis, tracheal tumors and other pathologies that result in an abnormal shape and function of the central airways. The Massachusetts General Hospital (MGH) in Boston witnessed first-hand the birth and growth of tracheal surgery under Dr. Hermes Grillo, becoming a reference center and accumulating one of the largest institutional experiences in the world...
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707500/functional-outcome-after-laryngo-tracheal-resection-and-reconstruction-for-acquired-benign-laryngo-tracheal-stenosis
#14
Simone T Timman, Christiana Schoemaker, Wilson W L Li, Henri A M Marres, Jimmie Honings, Wim J Morshuis, Erik H F M van der Heijden, Ad F T M Verhagen
Background: In this study we focus on functional outcomes after (laryngo)tracheal resection and reconstruction for acquired benign (laryngo)tracheal stenosis, with a specific interest in the impact of laryngeal involvement on postoperative outcome. Methods: All patients who underwent (laryngo)tracheal surgery for benign pathology between 1996 and 2017 in our centre were included in this retrospective study. Surgical outcomes were procedural success rate, and airway- and voice-related complications...
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707499/cervical-exenteration
#15
REVIEW
Uma M Sachdeva, Michael Lanuti
Cervical exenteration is a radical procedure for the treatment of locally invasive cancers of the trachea, esophagus, or thyroid, as well as recurrent tumors at the site of a tracheal stoma, and occasionally for benign disease. Exenteration involves removal of the larynx, pharynx, esophagus, and trachea, as well as associated lymphatic tissue. The tracheal stump is brought up as a cervical or mediastinal tracheostomy, depending on the length and the location of the distal resection site. The alimentary tract can be reconstructed with several types of conduits, but most commonly the stomach or left colon are used...
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707498/management-of-laryngotracheal-trauma
#16
REVIEW
Philicia Moonsamy, Uma M Sachdeva, Christopher R Morse
Laryngotracheal trauma is a rare but potentially life-threatening injury. It is usually seen in multiple-trauma patients and can go unrecognized and undertreated due to its scarcity. The presenting symptoms often do not correlate with the severity of the injury and injuries may range from an endolaryngeal hematoma to a complete tracheal transection. Accurate diagnosis of the extent of the injury can be achieved with a combination of high resolution computed tomography, flexible fiber optic laryngoscopy and flexible bronchoscopy...
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707497/imaging-of-the-trachea
#17
REVIEW
Jo-Anne O Shepard, Efren J Flores, Gerald F Abbott
Numerous benign and malignant tracheal diseases may affect the trachea primarily and secondarily. While the posterior anterior (PA) and lateral chest radiograph is the conventional study for initial evaluation of the trachea and central airways, findings may not always be apparent on conventional radiographs, and further evaluation with cross sectional imaging is usually necessary. Computed tomography (CT) is the imaging modality of choice for imaging the trachea and bronchi. Familiarity with the imaging appearances of the normal and diseased trachea will enhance diagnostic evaluation...
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707496/secondary-tracheal-tumors-a-systematic-review
#18
REVIEW
Maria Lucia Madariaga, Henning A Gaissert
Background: Secondary tracheal tumors arise from mural invasion by primary tumors in adjacent organs, metastatic lymph nodes or blood-born metastasis from distant sites. This systematic review aims to assess the presentation, management options, and clinical outcomes of these uncommon non-tracheal malignancies. Methods: Electronic searches of the MEDLINE database were performed to identify case series and individual case reports of tracheal invasion by primary non-tracheal tumors or metastatic disease...
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707495/a-reassessment-of-tracheal-substitutes-a-systematic-review
#19
REVIEW
Brooks Udelsman, Douglas J Mathisen, Harald C Ott
Background: Tracheal substitutes remain an active area of research. For rare patients with large or complex defects that cannot be repaired primarily, replacement of the airway may represent the only treatment option. The present systematic review aims to assess the clinical successes and setbacks of current methods of airway replacement. Methods: Systematic review using Medline and PubMed from 01 January 2000 to 01 October 2017 focusing on clinical translation of circumferential or near circumferential (>270°) tracheal substitutes...
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707494/guest-editor-introduction
#20
Kevin Phan, Tristan D Yan
No abstract text is available yet for this article.
March 2018: Annals of Cardiothoracic Surgery
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