About The Book

Otolaryngology-head and neck surgeons, general surgeons, and thoracic surgeons are required to know how to perform various types of open airway surgery. However, due to a decrease in the number of patients with subglottic or tracheal stenosis and resident work hour restrictions, exposure to these cases during training is often inadequate. As a result, there is an ever-increasing need for training programs to develop lifelike open airway simulation models. These in turn will promote competency-based surgical residency training and a drive toward continuing medical education and maintenance of certification.

Written by an international group of airway surgeons, Airway Reconstruction Surgical Dissection Manual is an essential guide for residents and fellows in the fields of otolaryngology-head and neck surgery, general surgery, and thoracic surgery, as well as consultant surgeons in these specialties who are responsible for managing airway conditions, but infrequently perform open airway surgeries.

This manual covers everything the trainee requires for mastering open airway surgical procedures on a live animal and extrapolating these techniques to human patients. It is extensively detailed for the beginner or for the experienced surgeon perfecting his or her technique, and can be used by the individual working at his or her own pace or in a group setting.

Key Features

  • Complex tasks are broken into rudimentary steps so they can be mastered by trainees at any level
  • High-quality photos and diagrams of each surgical step convey information clearly and succinctly
  • Procedural differences between animals and humans are clearly identified for easy and practical application to human patients

About The Authors

Evan J. Propst

Evan J. Propst, MD, MSc, FRCSC, is an otolaryngologist-head and neck surgeon at The Hospital for Sick Children in Toronto, and an assistant professor and clinician investigator at the University of Toronto. Dr. Propst has a clinical interest in complex open airway surgery, head and neck surgery, and advanced sleep surgery. He has developed the Disorders Relating to the Airway and Mouth in Sleep (DREAMS) clinic and the clinic for Complex Swallowing Disorders. His research interests include corrosion casting of the blood supply of the airway, tracheal transplantation, and novel treatments for head and neck tumors. Dr. Propst is the fellowship director and site director for residency and undergraduate education, and travels internationally teaching airway surgery through simulation.

Yamilet Tirado, MD, FACS, is an otolaryngologist-head and neck surgeon at Miami Children’s Hospital in Florida. Dr. Tirado received her medical degree from the University of Puerto Rico School of Medicine; completed her residency training at Baylor College of Medicine in Houston, Texas; and completed her fellowship training in pediatric otolaryngology at The Hospital for Sick Children in Toronto. She is active in clinical research, has presented internationally at medical conferences, and has published in medical journals. Dr. Tirado’s areas of interests include disorders of the head and neck, complex airway problems, congenital malformations, and voice pathology.

Table Of Contents

  • 1. Introduction
    • Procurement, Transport, and Housing of Animals
    • Operating Room Setup
    • Surgical Instruments
  • 2. Induction of Anesthesia and Intubation
  • 3. Exposure and Anatomy of the Pig Airway: Comparison with the Human Airway
  • 4. Anterior Cricoid Split (Single Stage)
  • 5. Harvest of Thyroid Ala Cartilage Graft
  • 6. Anterior Laryngotracheoplasty Using Thyroid Ala Cartilage Graft (Single Stage)
  • 7. Harvest of Costal Cartilage Graft
  • 8. Anterior Laryngotracheoplasty Using Costal Cartilage Graft (Single Stage)
  • 9. Posterior Laryngotracheoplasty Using Costal Cartilage Graft (Single Stage)
  • 10. Combined Anterior and Posterior Laryngotracheoplasty Using Costal Cartilage Grafts (Single Stage)
  • 11. Tracheotomy
  • 12. Placing a Stent (Double Stage)
  • 13. Cricotracheal Resection (Single Stage)
  • 14. Slide Tracheoplasty (Single Stage)


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