In the center of this multimedia prasentation are digitally remastered parts of an
ancient teaching film from the surgical departement of LMU, Munich. The teaching film
shows Hermes Grillo’s technique of horizontal tracheal resection. Two patients from
the film were found more than 35 years later for a long term follow up examination
of the trachea and lung function. Additionally, the history and course of a patient
with extensive tracheal stenosis after radiotherapy and emergency tracheostomy, who
where treated with the same surgical method, is shown.
All anastomoses (from 6 month to 38 years) are stable and overgrown by respiratory
epithelium. The (extensive) horizontal trachearesection is the only technique with
reasonable longterm outcome. The surgeon should not fear tension on the anastomosis.
The anastomosis heals properly if all the resorbable sutures were stiched through
healty, stable tracheal cartilage.
Poster-PDF
A-1139.pdf
