tracheal stenosis

Question 1

copd saber sheath trachea

Answer 1

left right diameter decreases, no surgery

Question 2

copd ap diameter decreases and obstructs

Answer 2

surgery indicated, mesh

Question 3

how long after extubation do you see tracheomalacia from cuff stenosis

Answer 3

3-6 weeks

Question 4

once bleeding controlled for a tracheoinnominate fistula what do you do with the artery

Answer 4

ligate it

Question 5

typical repair for a tracheoesophageal fistula

Answer 5

tracheal resection, closure of the esophagus and insertion of a muscle flap between the two

Question 6

what are the five release maneuvers for tracheal anastomosis

Answer 6

can get 6 cm with cervical hyperextension, but in order

1) pretracheal dissection (med)
2) neck flexion to 30 degrees with chin to sternum stitch
3) laryngeal release to drop the larynx, cricoid and trachea
4) release of pulmonary ligament
5) hilar relase of the right lung by incision of the pericardium and mobilization of the right PA and RSPV
6) transection of the left main bronchus and reimplantation into the right bronchus

Question 7

R1 at time of tracheal resection for SCC

Answer 7

if in situ, no probs, if R1 real take more or leave it if under tension and adjuvant RT