Benign Tumors and Cysts

Cricoid Cartilage Cancer

Benign tumors of the trachea and larynx are very rare and account for 10 of tracheal tumors.57,58 Ninety percent of tumors which are encountered in the pediatric age group are benign. Benign tumors represent a large group of diverse lesions that manifest as sharply-defined masses with no invasive characteristics.20,59 They are usually homogeneous, and the majority of lesions have no characteristic features to differentiate them by radiologic means.60 Papillomatosis is the result of a...

Closure of Persistent Tracheal Stoma

Tracheostomy Stoma

A persistent tracheal stoma most often has epithelial union of tracheal mucosa and cutaneous epithelium. Usually, a patient has had a stoma for a long time, frequently with an extended period of ventilation. Not infrequently, the patient is older, debilitated, or has been chronically on steroids. If the stoma fails to close spontaneously within 6 months following decannulation, it should be closed electively. A stoma may be closed by drawing muscle over the aperture, but this may lead to...

Repair and Healing of the Airway

An ancient concern that cast a shadow on tracheal surgery into the twentieth century was that cartilage healed poorly. Hippocrates had cautioned, The most difficult fistulae are those which occur in the cartilaginous areas .18 In the second century ce, Aretaeus pronounced, The lips of the wound do not coalesce, for they are both cartilaginous and not of a nature to unite.7 As late as 1990, Naef repeated that tracheo-bronchial tissue, as compared to the stomach, intestine, or even skin, does not...