AI Article Synopsis
- The study reviewed the surgical treatment of six patients with primary cervical tracheal cancer between 1997 and 1999.
- Various surgical techniques were used to reconstruct the trachea, including flaps from nearby muscles and tissues.
- Post-surgery, most patients had successful decannulation and maintained stable airways and good voice quality, with one case eventually dying from lung metastasis.
Article Abstract
Objective: To review the experience of surgical treatment of primary cervical tracheal cancer.
Methods: Six patients with primary cervical tracheal cancer were treated surgically from January 1997 to April 1999. The trachea anastomosis, platysmamyocutaneous flap combiend with the facial flap of the sternohyoid muscle, sternocleidomastoid myoperiosteal flap and the pectoralis major muculocutaneous flap were applied to restore the defects of cervical trachea. By pathology, there were two squamous cell carcinomas, three adenoid cystic carcinomas, and one adenocarcinoma.
Results: Six cases were decannulated from 23 days to 3 months after operation. The length of follow-up was more than 3 years. Five cases have stable airway by fiberscope and good voice after decannulation and there is no recurrence. One case died of lung metastasis 2 years after operation.
Conclusion: Trachea anastomosis is suited for small partial defect. The platysmamyocutaneous flap combined with the facial flap of the sternohyoid muscle, sternocleidomastoid myoperiosteal flap and the pectoralis major muculocutaneous flap are ideal transplant for cervical tracheal reconstruction.
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