TEHRAN, July 11 (Mehr News Agency) -- The first surgical operation of its kind in the world to save the life of a patient with tracheal stenosis was performed in Iran. The patient -- a 27-year-old female -- was the only survivor of a car accident in northern Iran near the Caspian Sea.
The surgical team, led by cardio-vascular and thoracic surgeon Professor Alireza Esmat, succeeded in employing a cartilage graft to enhance the tracheal luminal diameter where earlier investigators had revealed aggregation of fibrotic and granulation tissue at posterior aspect of the trachea at a length of 8-10cm.
Due to the linear extension of fibrosis, neither stenotic area resection nor end-end anastomosis were feasible while the implementation of synthetic material or metallic stent was also not possible.
So, the surgical team innovated a new technique, employing a cartilage graft to enhance the tracheal luminal diameter. A 10cm length of the floating 12th rib was extracted, implemented at the anterior aspect of the trachea with interrupted nylon suturing to reconstruct the stenotic area.
Professor Alireza Esmat, who has already received several plaques and awards from the United Nations and the Iran's Khwarizmi Scientific Foundation, performed this operation for the first time ever in the history of medicine.
... Payvand News - 7/11/07 ... --