Cervical XXXX resection: new lessons learned.

@entity1 @entity825 @entity384 @entity6184 @entity8276 @entity583 @entity850 @entity259
BACKGROUND: Cervical @entity6184 can be a difficult condition to manage. Depending on the etiology, location, and extent of the @entity850 , @entity8276 or cricotracheal resection may be required. Intraoperative decisions may predict outcome. METHODS: We performed a retrospective chart review of all @entity1 undergoing cervical @entity8276 or cricotracheal resection from April 2000 through March 2008. RESULTS: One hundred and five @entity1 underwent 108 @entity8276 or cricotracheal resections. Median age was 65 years (range, 15 to 78); 68% were @entity1 . Indication for operation included postintubation @entity6184 (38), idiopathic (31), @entity850 (19), invasive @entity259 (9), and other (8). Median length of @entity825 resected was 2.7 cm (range, 1.5 to 6.0 cm); 48 @entity1 (46%) underwent extended cricotracheal resections. Twenty-six @entity1 (25%) had an intraoperative chin stitch placed. Hospital stay was a median of 4 days (range, 2 to 33). Operative mortality was (1%); 1 @entity1 died of @entity583 on postoperative day 3. Four @entity1 (4%) had hoarseness or vocal cord immobility. Median follow-up was 36 months (range, 1 to 79). Eighteen @entity1 (17%) required dilation postoperatively. Seven @entity1 (7%) required tracheostomy; 2 (2%) are tracheostomy dependent. Three @entity1 (3%) underwent a re-resection for recurrent @entity850 . Multivariate analysis of indication for resection, type of resection, length of resection, anastomotic technique, and use of chin stitch did not predict the need for @entity384 , tracheostomy, or reoperation. CONCLUSIONS: Cervical @entity8276 resection can be performed safely with low morbidity and mortality. Only 5% of @entity1 required a long-term tracheostomy or re-resection for recurrent @entity6184 . Specific intraoperative decisions did not predict long-term success.
