{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T14:58:36Z","timestamp":1782226716669,"version":"3.54.5"},"reference-count":25,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2017,3,13]],"date-time":"2017-03-13T00:00:00Z","timestamp":1489363200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215117000378_sec_a1\"><jats:title>Objective:<\/jats:title><jats:p>To present clinical experience and surgical outcomes of end-to-end anastomosis in the management of laryngotracheal stenosis and tracheal defects following invasive thyroid malignancy resection.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215117000378_sec_a2\"><jats:title>Methods:<\/jats:title><jats:p>A retrospective analysis was performed of 14 patients with laryngotracheal stenosis and tracheal invasive thyroid malignancy. All patients underwent tracheal or cricotracheal resection and primary end-to-end anastomosis.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215117000378_sec_a3\"><jats:title>Results:<\/jats:title><jats:p>Length of stenosis was 1.7\u20134 cm. Stenosis was classified as Myer and Cotton grade II in 4 patients, grade III in 6 and grade IV in 2. Surgical procedures included tracheotracheal end-to-end anastomosis (<jats:italic>n<\/jats:italic>= 4), cricotracheal anastomosis (<jats:italic>n<\/jats:italic>= 2) and thyrotracheal anastomosis (<jats:italic>n<\/jats:italic>= 6). Patients with invasive thyroid malignancy underwent segmental resection of the involved segment with tumour-free margins, and tracheal or cricotracheal end-to-end anastomosis. Successful decannulation was achieved in 13 patients (93 per cent). Post-operative complications were: wound infection (<jats:italic>n<\/jats:italic>= 1), subcutaneous emphysema (<jats:italic>n<\/jats:italic>= 1), temporary unilateral vocal fold palsy (<jats:italic>n<\/jats:italic>= 1), granulation tissue development (<jats:italic>n<\/jats:italic>= 1), and restenosis (<jats:italic>n<\/jats:italic>= 2).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215117000378_sec_a4\"><jats:title>Conclusion:<\/jats:title><jats:p>End-to-end anastomosis can be used safely and successfully in the management of advanced laryngotracheal stenosis and wide laryngotracheal defects. Greater success can be achieved using previously described surgical rules and laryngotracheal release manoeuvres.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215117000378","type":"journal-article","created":{"date-parts":[[2017,3,13]],"date-time":"2017-03-13T10:30:33Z","timestamp":1489401033000},"page":"447-454","source":"Crossref","is-referenced-by-count":15,"title":["End-to-end anastomosis in the management of laryngotracheal defects"],"prefix":"10.1017","volume":"131","author":[{"given":"E D","family":"Gozen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Yener","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z B","family":"Erdur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Karaman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2017,3,13]]},"reference":[{"key":"S0022215117000378_ref8","doi-asserted-by":"publisher","DOI":"10.1177\/000348940411300803"},{"key":"S0022215117000378_ref10","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12347"},{"key":"S0022215117000378_ref20","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1974.00780030265005"},{"key":"S0022215117000378_ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-011-0424-2"},{"key":"S0022215117000378_ref12","first-page":"154","article-title":"Tracheal stenosis after tracheostomy or intubation: review with special regard to cause and management","volume":"32","author":"Sarper","year":"2005","journal-title":"Tex Heart Inst J"},{"key":"S0022215117000378_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)63191-8"},{"key":"S0022215117000378_ref17","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2009.213215"},{"key":"S0022215117000378_ref18","doi-asserted-by":"publisher","DOI":"10.1177\/000348940311201008"},{"key":"S0022215117000378_ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-014-2981-y"},{"key":"S0022215117000378_ref9","first-page":"885","volume-title":"General Thoracic Surgery","author":"Grillo","year":"2000"},{"key":"S0022215117000378_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(81)90413-7"},{"key":"S0022215117000378_ref21","doi-asserted-by":"publisher","DOI":"10.1177\/000348946907800208"},{"key":"S0022215117000378_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(95)70279-2"},{"key":"S0022215117000378_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(96)80331-9"},{"key":"S0022215117000378_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(95)00464-V"},{"key":"S0022215117000378_ref19","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1016\/S0022-5223(19)33357-4","article-title":"Extensive resection and reconstruction of mediastinal trachea without prosthesis or graft: an anatomical study in man","volume":"48","author":"Grillo","year":"1964","journal-title":"J Thorac Cardiovasc Surg"},{"key":"S0022215117000378_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)65137-5"},{"key":"S0022215117000378_ref23","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-004-0887-9"},{"key":"S0022215117000378_ref5","doi-asserted-by":"publisher","DOI":"10.1177\/000348949410300410"},{"key":"S0022215117000378_ref13","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2466-8-18"},{"key":"S0022215117000378_ref22","doi-asserted-by":"crossref","first-page":"1443","DOI":"10.1016\/S0022-5223(19)34641-0","article-title":"Subglottic tracheal resection and synchronous laryngeal reconstruction","volume":"104","author":"Maddaus","year":"1992","journal-title":"J Thorac Cardiovasc Surg"},{"key":"S0022215117000378_ref1","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1007\/BF02907661","article-title":"Radiological evaluation of chronic laryngotracheal stenosis","volume":"57","author":"Ramdev","year":"2005","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"S0022215117000378_ref24","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-013-2367-6"},{"key":"S0022215117000378_ref6","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1016\/S0022-5223(19)39664-3","article-title":"Primary tracheal anastomosis after resection of the cricoid cartilage with preservation of recurrent laryngeal nerves","volume":"70","author":"Pearson","year":"1975","journal-title":"J Thorac Cardiovasc Surg"},{"key":"S0022215117000378_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2008.08.008"}],"container-title":["The Journal of Laryngology &amp; 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