Airway

Question 1

Tracheal release maneuvers

Answer 1

1. Anterior trachea mobilization
2. Neck flexion and the placement of a chin-stitch
3. Hilar release
4. Suprahyoid laryngeal release enhances mobilization of the upper trachea (for cervical and mid trachea resection)

Question 2

Benign stenosis with airway diameter of <5mm. What to do next?

Answer 2

Dilate immediately after induction with rigid bronch or laryngeal mass and a balloon dilator.

Question 3

Airway stent types

Answer 3

Stents for benign lesions are done as last resort

• Y-stent for carinal invasion
• Metal stents only for cancer
• Silicone stents for fistula or benign

Question 4

Management of short segment benign airway stenosis or malacia in young patients?

Answer 4

definitive tracheal resection and reconstruction

Question 5

Surgery for stenosis of distal trachea or carina

Answer 5

Example: Right thoracotomy with right carinal pneumonectomy