Идёт набор NCT07059195

Non-Invasive Techniques to Maintain Neck Flexion and Reduce Anastomotic Tension After Tracheal Resection

Без фазы С лечением Maintain Neck Flexion and Reduce Anastomotic Tension After Tracheal Resection

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают: В протоколе указаны: cervical collar or cervical-thoracic orthosis., chin-to-chest (Grillo) suturing.
Кому может быть актуально: Состояния в реестре: Maintain Neck Flexion and Reduce Anastomotic Tension After Tracheal Resection. Базовые параметры: 6 мес. — 80 лет · Все.
Что важно проверить: Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится: Египет
Следующий шаг: Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Обзор

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).

Вмешательства

Процедура cervical collar or cervical-thoracic orthosis.
postoperative cervical spine flexion maintained using non-invasive techniques, such as a cervical collar or cervical-thoracic orthosis.
Устройство chin-to-chest (Grillo) suturing
cervical spine flexion maintained using traditional chin-to-chest (Grillo) suturing

Первичные конечные точки

cervical spine flexion [Срок оценки: 2 years]

Критерии участия

Критерии включения

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