Emergency tracheotomy and subsequent tracheal resection and anastomosis in a blue crane (Anthropoides paradiseus)

2020 ◽  
Vol 256 (11) ◽  
pp. 1262-1267
Author(s):  
Taylor J. Yaw ◽  
Grayson A. Doss ◽  
Sara A. Colopy ◽  
Anne L. Kincaid ◽  
Barry K. Hartup
Keyword(s):  
Tracheal Resection ◽  
Resection And Anastomosis ◽  
Emergency Tracheotomy

scholarly journals Treatment of a case of tracheal stenosis in a dog with tracheal resection and anastomosis

2012 ◽  
Vol 48 (No. 11) ◽  
pp. 339-342 ◽  
Author(s):  
Z. Mutlu ◽  
Acar SE ◽  
C. Perk
Keyword(s):  
General Anesthesia ◽  
Clinical Examination ◽  
Tracheal Stenosis ◽  
Postoperative Period ◽  
Tracheal Resection ◽  
Late Period ◽  
Healthy Life ◽  
Breathing Difficulty ◽  
Cervical Portion ◽  
Resection And Anastomosis

A case of tracheal stenosis in the cervical portion of the trachea was encountered in a 5.5-month-old St. Bernard-Ro􀄴weiler cross dog. Breathing difficulty was seen in the clinical examination and presence of an obvious narrowing between the 3rd–5th cervical tracheal rings was determined in the radiological examination. Under general anesthesia the portion with stenosis was resected and the healthy trachea ends were anastomosed using the split cartilage technique. In the postoperative period the breathing difficulty disappeared and there was no development of a new stenosis in the anastomosis region. In the late period check-up the patient was seen to lead a healthy life.

scholarly journals Surgical options in suprastomal collapse-induced severe airway obstruction

2020 ◽  
Vol 277 (12) ◽  
pp. 3415-3421
Author(s):  
Serap Sahin Onder ◽  
A. Ishii ◽  
K. Sandu
Keyword(s):  
Surgical Treatment ◽  
Partial Response ◽  
Postoperative Management ◽  
Tracheal Resection ◽  
T Tube ◽  
Included Patient ◽  
Surgical Options ◽  
Resection And Anastomosis ◽  
Severe Airway Obstruction ◽  
Type Of Surgery

Abstract Purpose A single institutions experience with various surgical options in the treatment of severe suprastomal collapse (SSC). Methods The study included 18 tracheostomized children with SSC treated between January 2012 and December 2018. Data included: patient demography, initial airway lesions, comorbidities, indication and age at tracheostomy, prior airway surgery, stomal demography, type of surgery, postoperative management, complications and treatment outcomes. Results Four techniques were used to correct SSC. The surgical choice was dependent on stoma demography and associated airway lesions. Excision was done in eight patients and rib cartilage augmentation in five. Three patients had single stage tracheal resection and anastomosis. Two patients received stomal rigidification and temporary placement of Montgomery T tube. Three patients with anterior rib graft augmentation required additional lateral tracheal wall rigidification. Three patients (two with cartilage augmentation, and one with stomal rigidification) developed minimal granulation tissue in the postoperative period. Complete SSC resolution was seen in all except two patients who had a partial response to the treatment. All patients were successful decannulated and are currently asymptomatic. Conclusion Decannulation failures may be due to severe suprastomal collapse that could be either unique or associated with obstructing laryngotracheal lesions. Therefore, it is essential to select the most appropriate surgical treatment to obtain overall favorable outcomes.

Tracheal resection and anastomosis

1997 ◽  
Vol 8 (3) ◽  
pp. 122-129 ◽  
Author(s):  
Javier Gavilán ◽  
Adolfo Toledano ◽  
María Angeles Cerdeira ◽  
Jesús Herranz
Keyword(s):  
Tracheal Resection ◽  
Resection And Anastomosis

Anesthetic Management of a Patient With Tracheal Dehiscence Post–Tracheal Resection Surgery

2017 ◽  
Vol 21 (4) ◽  
pp. 360-363 ◽  
Author(s):  
Sang Kim ◽  
Maryna Khromava ◽  
Jeron Zerillo ◽  
George Silvay ◽  
Adam I. Levine
Keyword(s):  
Airway Management ◽  
Anesthetic Management ◽  
Fiberoptic Intubation ◽  
Tracheal Resection ◽  
Distal Stump ◽  
Intravenous Anesthesia ◽  
Tracheal Rupture ◽  
Alternative Techniques ◽  
Awake Fiberoptic Intubation ◽  
Resection And Anastomosis

We present a case of a patient with complete tracheal dehiscence and multiple false passages after recent tracheal resection and anastomosis. Loss of tracheal continuity after disruption of anastomosis with distal stump retraction presents a unique anesthetic challenge given lack of access to the trachea and the need for adequate anesthesia and analgesia for surgical neck dissection. Traditional airway management, including awake fiberoptic intubation, intubation via direct laryngoscopy, needle cricothyrotomy, and awake tracheostomy are not viable options. Using total intravenous anesthesia with spontaneous ventilation, surgeons dissected the neck, retrieved the distal tracheal stump, repaired the trachea, and formalized the tracheostomy. We highlight the importance of recognizing the symptoms of a tracheal rupture, understanding the extreme limitation of securing the airway with traditional techniques, and discuss the alternative techniques including use of extracorporeal membrane oxygenation to avoid airway management. Awareness of increased mortality risk with tracheal reoperation and the significance of close communication between the anesthesiologists, the surgeons, and the patient is necessary for successful management.

Tracheal Resection and Anastomosis in a Mallard Duck (Anas platyrhynchos) with Traumatic Segmental Tracheal Collapse

2007 ◽  
Vol 21 (2) ◽  
pp. 150-157 ◽  
Author(s):  
David Sanchez-Migallon Guzman ◽  
Mark Mitchell ◽  
Cheryl S. Hedlund ◽  
Michael Walden ◽  
Thomas N. Tully
Keyword(s):  
Anas Platyrhynchos ◽  
Tracheal Resection ◽  
Mallard Duck ◽  
Tracheal Collapse ◽  
Resection And Anastomosis

An Experimental Study on Timing in Tracheal Stenosis Surgery

2021 ◽  
Author(s):  
Umit Aydogmus ◽  
Gokhan Ozturk ◽  
Argun Kis ◽  
Yeliz Arman Karakaya ◽  
Hulya Aybek ◽  
...  
Keyword(s):  
Experimental Study ◽  
Tracheal Stenosis ◽  
Biochemical Markers ◽  
Group Iv ◽  
Tracheal Resection ◽  
Group Iii ◽  
Tnf Α ◽  
Post Traumatic ◽  
The Mean ◽  
Resection And Anastomosis

Abstract Background TNF-α, IL-6, and TGF-β are important bio mediators of the inflammatory process. This experimental study has investigated inflammatory biomarkers' efficacy to determine the appropriate period for anastomosis surgery in tracheal stenosis cases. Methods First, a pilot study was performed to determine the mean stenosis ratio (SR) after the surgical anastomosis. The trial was planned on 44 rats in four groups based on the pilot study's data. Tracheal inflammation and stenosis were created in each rat by using micro scissors. In rats of groups I, II, III, and IV, respectively, tracheal resection and anastomosis surgery were applied on the 2nd, 4th, 6th, 8th weeks after the damage. The animals were euthanized 8 weeks later, followed by histopathological assessment and analysis of TNF-α, IL-6, and TGF-β as biochemical markers. Results Mean SR of the trachea were measured as 21.9 ± 6.0%, 24.1 ± 10.4%, 25.8 ± 9.1%, and 19.6 ± 9.2% for Groups I to IV, respectively. While Group III had the worst SR, Group IV had the best ratio (p = 0.03). Group II had the highest values for the biochemical markers tested. We observed a statistically significant correlation between only histopathological changes and TNF-α from among the biochemical markers tested (p = 0.02). It was found that high TNF-α levels were in a relationship with higher SR (p = 0.01). Conclusion Tracheal anastomosis for post-traumatic stenosis is likely to be less successful during the 4th and 6th weeks after injury. High TNF-α levels are potentially predictive of lower surgical success. These results need to be confirmed by human studies.

Suspected Iatrogenic Seeding of Oral Melanoma Secondary to Endotracheal Intubation in a Dog

2019 ◽  
Vol 55 (4) ◽  
Author(s):  
Jeanne Lane ◽  
Canny Fung ◽  
Emily Gould ◽  
Isabella Pfeiffer ◽  
Olufemi Fasina ◽  
...  
Keyword(s):  
Treatment Options ◽  
Tube Placement ◽  
Tracheal Resection ◽  
Thoracic Inlet ◽  
Tumor Seeding ◽  
Oral Melanoma ◽  
Endotracheal Tube Placement ◽  
Hypofractionated Radiation ◽  
The Right ◽  
Resection And Anastomosis

ABSTRACT A 10 yr old castrated male pug was presented with a 3 day history of intermittent dyspnea, cough, inappetence, and inability to breathe while sleeping. He had previously received hypofractionated radiation therapy for an amelanotic oral malignant melanoma (OMM) 7 mo prior to presentation. At presentation, the dog was gasping and dyspneic. Oral examination identified the OMM on the right hard palate. Thoracic radiographs revealed an angular soft-tissue opacity within the trachea just distal to the thoracic inlet. No evidence of pulmonary metastatic disease was seen. Tracheoscopy identified a pedunculated, nonpigmented mass within the lumen of the distal trachea near the carina. Treatment options were presented to the owners and included tracheal stenting or tracheal resection and anastomosis. Because of the poor prognosis, the owners elected humane euthanasia. Postmortem examination confirmed the presence of melanoma in the distal trachea; no other sites of OMM metastasis were identified. The cause of OMM development in the distal trachea in this case is suspected to have resulted from mechanical tumor cell seeding during endotracheal tube placement for general anesthesia 7 mo prior to presentation. Despite the reported rarity of mechanical tumor seeding, this potential complication warrants consideration in dogs with OMM.

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