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    Otolaryngol Head Neck Surg. 2005 Sep;133(3):372-6.

    Does successful segmental tracheal resection require releasing maneuvers?

    Merati AL, Rieder AA, Patel N, Park DL, Girod D.

    Division of Laryngology, Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, 53226, USA. amerati@mcw.edu

    OBJECTIVES: Tracheal resection is a well-established option for the management of airway stenosis. Releasing maneuvers have been described to reduce anastomotic tension. The aim of this study is to report on a series of tracheal resections performed without the use of these maneuvers. STUDY DESIGN: Retrospective chart review. SETTING: Tertiary hospital. METHODS: All patients undergoing tracheal resection by the first author over a 6-year period were reviewed. RESULTS: Patients (n = 17; 7 men and 10 women, ages 23-76) were managed with tracheal resection and anastomosis without stenting or postoperative tracheotomy. 16/17 (94%) patients had successful treatment of their stenosis. 1/17 (6%) failed and 1/17 (6%) required dilation. There was no postoperative swallowing dysfunction. CONCLUSIONS: Segmental tracheal resection without releasing maneuvers was successful in 16/17 (94%) patients. SIGNIFICANCE: Though extrapolation from this series may be limited, future practitioners may consider forgoing additional releasing maneuvers for tracheal resection in many cases.

    PMID: 16143184 [PubMed - indexed for MEDLINE]

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