Stair-Step Tracheal Repair

A surgical technique.


Typical surgical treatment for invasive thyroid carcinoma at the level of the cricoid risks damage to the recurrent laryngeal nerve (RLN). We present a novel tracheal reconstructive technique that minimizes this injury risk. A 72‐year‐old man with recurrent invasive thyroid carcinoma underwent cricotracheal resection and reconstruction using a stair‐step approach, which offers reduced risk of injury to the contralateral RLN while still establishing a patent airway.

Sims JR, O’Malley QF, Spaulding SL, Yue LE, Urken ML.

Head and Neck, 2020

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