Abstract
Four cases of benign tracheal stenosis were managed by circumferential resection of a segment of trachea and reapproximation. With the neck hyperextended, an anterior approach through a cervical or cervico-mediastinal route allows sufficient tracheal mobilisation with preservation of the lateral blood supply. Utilisation of cervical flexion to devolve the larynx, facilitate anastomosis without tension at the suture line. The preoperative assessment, anaesthetic management, the operative technique and the special postoperative care and complications have been discussed. The results of surgery has been rewarding.
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