{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T08:17:05Z","timestamp":1778141825338,"version":"3.51.4"},"reference-count":48,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T00:00:00Z","timestamp":1766707200000},"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":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0022215125104192_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To highlight our experience in the management of patients with severe subglottic and\/or upper tracheal stenosis associated with neurological co-morbidities. Effective tips and tricks in the surgical technique were emphasised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125104192_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study included 33 patients with neurological co-morbidities who underwent tracheal and\/or cricotracheal resection anastomosis. To decrease the anastomotic tension, suprahyoid release was performed and trachea-hyoid detensioning stitches were placed. Surgiflo\u00ae was applied over the anastomosis to enhance healing. Surgical and functional outcomes were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125104192_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The decannulation rate was 90.9 per cent. Regarding the functional outcomes, significant improvement of voice and swallowing was noticed after surgery. None of the patients experienced deterioration in their pre-existing neurological conditions following surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125104192_sec4d\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with severe subglottic and\/or upper tracheal stenosis associated with neurological co-morbidities are challenging. Certain refinements in the surgical technique such as tailored suprahyoid release, tracheo-hyoid detensioning stitches and the application of Surgiflo are crucial to enhance healing, decrease anastomotic tension and improve outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0022215125104192","type":"journal-article","created":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T04:14:28Z","timestamp":1766722468000},"page":"459-464","source":"Crossref","is-referenced-by-count":0,"title":["Tracheal resection anastomosis in neurologically compromised patients: no longer a contra-indication, with promising outcomes"],"prefix":"10.1017","volume":"140","author":[{"given":"Ahmed Musaad","family":"Abd El-Fattah","sequence":"first","affiliation":[{"name":"Mansoura University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eman Hamdy","family":"Salem","sequence":"additional","affiliation":[{"name":"Mansoura University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fedaey Ramadan","family":"Habaza","sequence":"additional","affiliation":[{"name":"Mansoura University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Arafa","family":"Shady","sequence":"additional","affiliation":[{"name":"Mansoura University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamer","family":"Abou-Elsaad","sequence":"additional","affiliation":[{"name":"Mansoura University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4848-9223","authenticated-orcid":false,"given":"Hisham Atef","family":"Ebada","sequence":"additional","affiliation":[{"name":"Mansoura University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,12,26]]},"reference":[{"key":"S0022215125104192_ref38","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2017.09.015"},{"key":"S0022215125104192_ref41","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2001.111420"},{"key":"S0022215125104192_ref37","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/123.9.1863"},{"key":"S0022215125104192_ref2","doi-asserted-by":"publisher","DOI":"10.1177\/000348945306200219"},{"key":"S0022215125104192_ref8","first-page":"S160","article-title":"Complications after tracheal resection and reconstruction: prevention and treatment","volume":"8","author":"Auchincloss","year":"2016","journal-title":"J Thorac Dis"},{"key":"S0022215125104192_ref33","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360.0603.66"},{"key":"S0022215125104192_ref40","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2004.07.005"},{"key":"S0022215125104192_ref48","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezae105"},{"key":"S0022215125104192_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(92)90757-U"},{"key":"S0022215125104192_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2018.06.001"},{"key":"S0022215125104192_ref31","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2020.01.004"},{"key":"S0022215125104192_ref46","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000362"},{"key":"S0022215125104192_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(99)00175-5"},{"key":"S0022215125104192_ref9","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2007.168054"},{"key":"S0022215125104192_ref11","doi-asserted-by":"publisher","DOI":"10.1177\/000348949410300410"},{"key":"S0022215125104192_ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2017.09.011"},{"key":"S0022215125104192_ref45","doi-asserted-by":"publisher","DOI":"10.21037\/acs.2018.03.07"},{"key":"S0022215125104192_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2017.03.014"},{"key":"S0022215125104192_ref47","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2020.07.046"},{"key":"S0022215125104192_ref30","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215121000062"},{"key":"S0022215125104192_ref18","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414538764"},{"key":"S0022215125104192_ref27","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30635"},{"key":"S0022215125104192_ref29","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/j.anl.2017.03.014","article-title":"Partial cricotracheal resection for severe upper tracheal stenosis: potential impacts on the outcome","volume":"45","author":"AM","year":"2018","journal-title":"Auris Nasus Larynx"},{"key":"S0022215125104192_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.11.066"},{"key":"S0022215125104192_ref13","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813510867"},{"key":"S0022215125104192_ref22","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2020.1742803"},{"key":"S0022215125104192_ref19","doi-asserted-by":"publisher","DOI":"10.2174\/9789815238877124010017"},{"key":"S0022215125104192_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2010.07.004"},{"key":"S0022215125104192_ref44","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-017-4753-y"},{"key":"S0022215125104192_ref43","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27522"},{"key":"S0022215125104192_ref21","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-1612"},{"key":"S0022215125104192_ref42","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1974.00780030265005"},{"key":"S0022215125104192_ref12","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2016.4131"},{"key":"S0022215125104192_ref36","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.945675"},{"key":"S0022215125104192_ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2016.09.001"},{"key":"S0022215125104192_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(95)70279-2"},{"key":"S0022215125104192_ref34","doi-asserted-by":"publisher","DOI":"10.1177\/000348940811701210"},{"key":"S0022215125104192_ref6","doi-asserted-by":"publisher","DOI":"10.1177\/000348949810701111"},{"key":"S0022215125104192_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2018.01.012"},{"key":"S0022215125104192_ref15","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215110002537"},{"key":"S0022215125104192_ref39","article-title":"Investigating risk factors for laryngotracheal reconstruction and assessing postoperative management","volume":"17","author":"Patel","year":"2025","journal-title":"Cureus"},{"key":"S0022215125104192_ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2014.03.019"},{"key":"S0022215125104192_ref3","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197406000-00007"},{"key":"S0022215125104192_ref26","first-page":"S160","article-title":"Complications after tracheal resection and reconstruction: prevention and treatment","volume":"8","author":"Auchincloss","year":"2016","journal-title":"J Thorac Dis"},{"key":"S0022215125104192_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2023.111631"},{"key":"S0022215125104192_ref35","doi-asserted-by":"publisher","DOI":"10.1007\/BF00417897"},{"key":"S0022215125104192_ref32","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13614"},{"key":"S0022215125104192_ref14","doi-asserted-by":"publisher","DOI":"10.3342\/ceo.2014.7.4.324"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215125104192","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T08:04:38Z","timestamp":1778141078000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215125104192\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,26]]},"references-count":48,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["S0022215125104192"],"URL":"https:\/\/doi.org\/10.1017\/s0022215125104192","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,26]]}}}