Non-Invasive Techniques to Maintain Neck Flexion and Reduce Anastomotic Tension After Tracheal Resection
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: cervical collar or cervical-thoracic orthosis., chin-to-chest (Grillo) suturing.
- Who it may be relevant to
- Registry conditions: Maintain Neck Flexion and Reduce Anastomotic Tension After Tracheal Resection. Basic parameters: 6 months — 80 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Overview
Tracheal surgery represents a relatively recent advancement in the field of thoracic surgery. The trachea has unique anatomical and physiological challenges that historically rendered surgical manipulation both risky and limited. Early interventions involving the trachea were primarily restricted to emergency tracheostomy procedures, typically performed as life-saving measures during acute airway obstruction (1). Attempts at tracheal reconstruction were largely unsuccessful due to the absence of suitable anesthesia, inadequate surgical tools, and the prevailing belief that tracheal cartilage lacked sufficient regenerative. As a result, tracheal resection and reconstruction were long considered unfeasible (2). The modern era of tracheal surgery began to take shape in the mid-20th century. While early attempts at tracheal resection were performed with limited success, it was the pioneering work of Dr. Hermes C. Grillo in the 1960s that truly transformed the field. Through systematic study of tracheal anatomy, vascular supply, and biomechanics, Dr. Grillo developed standardized and safe techniques for segmental tracheal resection followed by primary end-to-end anastomosis. His work demonstrated that segmental resection of the trachea followed by primary end-to-end anastomosis was feasible and safe (3)(4).
Interventions
- Procedure cervical collar or cervical-thoracic orthosis.
postoperative cervical spine flexion maintained using non-invasive techniques, such as a cervical collar or cervical-thoracic orthosis. - Device chin-to-chest (Grillo) suturing
cervical spine flexion maintained using traditional chin-to-chest (Grillo) suturing
Primary outcome measures
- cervical spine flexion [Time frame: 2 years]
Eligibility criteria
Inclusion criteria
- All pediatric and adult patients undergoing tracheal and cricotracheal resection for benign air way stenosis
- All pediatric and adult patients undergoing tracheal and cricotracheal resection for malignant pathologies
Exclusion criteria
- patients with previous cervical spine surgery.
- Congenital or acquired spinal deformities.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- Sohag University hospital — Sohag
Identifiers
NCT: NCT07059195 · Soh-Med-25-6--2MD