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Excision of adenoid cystic carcinoma of the cervical trachea via an anterior castellated approach

Published online by Cambridge University Press:  29 June 2007

B. E. J. Hartley ,
J. J. Fagan  and
P. H. Rhŷs-Evans
B. E. J. Hartley*
Affiliation:
Head and Neck Unit, The Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
J. J. Fagan
Affiliation:
Head and Neck Unit, The Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
P. H. Rhŷs-Evans
Affiliation:
Head and Neck Unit, The Royal Marsden Hospital, Fulham Road, London SW3 6JJ, UK.
*
Mr B. E. J. Hartley, ENT Registrar, The Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London WC1X 8DA.
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Abstract

Adenoid cystic carcinoma of the cervical trachea is rare and its diagnosis and surgical management challenging. We report a case with an unusual presentation and discuss the diagnosis and management. The preferred surgical management is tracheal resection, however this is often not feasible and many alternative techniques have been used. Here an anterior castellated approach is described, a modification of that more commonly used for benign tracheal strictures. We found it gave excellent access to the posterior tracheal wall which we feel is superior to a straight vertical tracheal incision. It also facilitates a tracheal widening procedure if indicated, and safeguards the recurrent laryngeal nerves which are particularly vulnerable in the cervical part of the trachea.

Keywords

Tracheal neoplasmsCarcinoma, adenoid cysticSurgery
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 8 , August 1995 , pp. 774 - 776
Copyright
Copyright © JLO (1984) Limited 1995

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