Abstract
Mediastinal tracheostomy is a highly complex procedure. Despite presenting great morbidity and mortality, it is not proscribed and may be indicated for selected cases. Maneuvers such as transposition of the trachea under the innominate artery and pectoralis major flap rotation have been developed to reduce the risk of complications. In some cases, it is necessary to reconstruct the alimentary tract, with several options, depending on the extension of the disease and the comorbidities of the patient. This chapter presents the principal articles describing the largest series of mediastinal tracheostomy found in a literature search, with discussion about the indications, complications, digestive reconstruction, and results. We present a case in which a mediastinal tracheostomy presented an unusual indication and was conducted in a successful manner. Thus, it is concluded that mediastinal tracheostomy is a feasible procedure in well-selected cases.
References
Gomez-Caro A, Gimferrer JM, Macchiarini P. Technique to avoid innominate artery ligation and perform an anterior mediastinal tracheostomy for residual trachea of less than 5 cm. Ann Thorac Surg. 2007;84:1777–9.
Grillo HC, Mathisen DJ. Cervical exenteration. Ann Thorac Surg. 1990;49:401–9.
Orringer MB. Anterior mediastinal tracheostomy with and without cervical exenteration. Ann Thorac Surg. 1992;54:628–37.
Conti M, Benhamed L, Mortuaire G, Chevalier D, Pinçon C, Wurtz A. Indications and results of anterior mediastinal tracheostomy for malignancies. Ann Thorac Surg. 2010;89(5):1588–95.
Carlson GW, Schusterman MA, Guillamondegui OM. Total reconstruction of the hypopharynx and cervical esophagus: a 20 year experience. Ann Plast Surg. 1992;29:408–12.
de Vries EJ, Stein DW, Johnson JT, et al. Hypopharyngeal reconstruction: a comparison of two alternatives. Laryngoscope. 1989;99:614–7.
Maipang T, Singha S, Panjapiyakul C, Totemchokchyakam P. Mediastinal tracheostomy. Am J Surg. 1996;171:581–6.
Jatin Shah 2012 Head and Neck Surgery and Oncology, 4th Edition. ISBN978–0–323-05589-5.
Berthet JP, Garrel R, Gimferrer JM, Paradela M, Marty-Ané CH, Molins L, Gómez-Caro A. Anterior mediastinal tracheostomy as salvage operation. Ann Thorac Surg. 2014;98(3):1026–33.
Goldberg M, Freeman J, Gullane PJ, et al. Transhiatal esophagectomy with gastric transposition for pharyngolaryngeal malignant disease. J Thorac Cardiovasc Surg. 1989;97:327–33.
Goligher JC, Robin IG. Colon in reconstruction after pharyngectomy: use of left colon for reconstruction of pharynx and esophagus after pharyngectomy. Br J Surg. 1954;42:283–90.
Gomez-Caro A, Gimferrer JM, Molins L. Lung Incarceration after anterior mediastinal tracheostomy. Ann Thorac Surg. 2013;95:1795–7.
Patel UA, Moore BA, Wax M, et al. Impact of pharyngeal closure techniqueon fistula after salvage laryngectomy. JAMA Otolaryngol Head Neck Surg. 2013;139:1–6.
Paydarfar JÁ, Birkmeyer NJ. Complications in head and neck surgery: a meta-analysis of postlaryngectomy pharyngocutaneous fistula. Arch Otolaryngol Head and Neck Surg. 2003;132:67–72.
Sisson GA, Strachley CJ Jr, Johnson NE. Mediastinal dissection for recurrent cancer after laryngectomy. Laryngoscope. 1962;72:1064–77.
Terz JJ, Wagman LD, King RE, et al. Results of extended resection of tumours involving the cervical part of the trachea. Surg Gynecol Obstet. 1980;151:491–6.
Waddell WR, Cannon B. A technic for subtotal excision of the trachea and establishment of a sternal tracheostomy. Ann Surg. 1959;149:1–8.
Chan YW, Yu Chow VL, Lun Liu LH, Ignace Wei W. Manubrial resection and anterior mediastinal tracheostomy: friend or foe? Laryngoscope. 2011;121:1441–5. https://doi.org/10.1002/lary.21.
Grillo HC. Terminal or mural tracheostomy in the anterior mediastinum. J Thorac Cardiovasc Surg. 1966;51:422–7.
Kamiyama R, Mitani H, Yonekawa H, Fukushima H, Sasaki T, Shimbashi W, Seto A, Koizumi Y, Ebina A, Kawabata K. A clinical study of pharyngolaryngectomy with total esophagectomy: postoperative complications, countermeasures, and prognoses. Otolaryngology Head and Neck Surgery. 2015;153:392–9. first published on June 26, 2015.
Kleitsch WP. Anterior mediastinal tracheostomy. J Thorac Surg. 1952;24:38–42.
Minor GR. Trans-sternal tracheal excision for carcinoma. J Thorac Surg. 1952;24:88–92.
Watson WL. Cancer of the trachea fourteen years after treatment for cancer of larynx. J Thorac Surg. 1942;12:142–50.
Sugarbaker DJ, Bueno R, Colson YL, Jaklitch MT, Krasna MJ, Mentzer SJ, Williams M, Adams A. Adult chest surgery. 2nd ed. New York: McGraw-Hill Education; 2015. https://accesssurgery.mhmedical.com/book.aspx?bookID=1317.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
de Cavalcanti Siebra, P.J., de Moraes Botinelly, R.D., de Farias, T.P., Oliveira, A.F., Dias, F.L. (2018). Mediastinal Tracheostomy. In: de Farias, T. (eds) Tracheostomy. Springer, Cham. https://doi.org/10.1007/978-3-319-67867-2_11
Download citation
DOI: https://doi.org/10.1007/978-3-319-67867-2_11
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-67866-5
Online ISBN: 978-3-319-67867-2
eBook Packages: MedicineMedicine (R0)