Keeping the neck flexed to reduce tension after tracheal resection
Non-Invasive Techniques to Maintain Neck Flexion and Reduce Anastomotic Tension After Tracheal Resection
This will try two non‑invasive methods—wearing a cervical collar or using chin‑to‑chest (Grillo) sutures—to keep the neck bent and lower tension after tracheal or cricotracheal resection in children and adults.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 30 (estimated) |
| Ages | 6 Months to 80 Years |
| Sex | All |
| Sponsor | Sohag University Academic / other |
| Locations | 1 site (Sohag) |
| Trial ID | NCT07059195 on ClinicalTrials.gov |
What this trial studies
Patients undergoing tracheal or cricotracheal resection for benign or malignant conditions will be managed with either a cervical collar/cervico‑thoracic orthosis or chin‑to‑chest (Grillo) suturing to maintain postoperative neck flexion. The trial compares these non‑invasive techniques for their ability to reduce anastomotic tension and promote healing, with outcomes likely including anastomotic integrity, leak rates, and complication profiles. Pediatric and adult patients are eligible while those with prior cervical spine surgery or congenital/acquired spinal deformities are excluded. Interventions and follow‑up are delivered at a single center (Sohag University Hospital) with clinical monitoring for complications and anastomotic healing.
Who should consider this trial
Good fit: Children and adults scheduled for tracheal or cricotracheal resection for benign or malignant airway conditions who have no prior cervical spine surgery or spinal deformity.
Not a fit: Patients with previous cervical spine surgery, congenital or acquired spinal deformities, or any condition that prevents safe neck flexion are unlikely to benefit.
Why it matters
Potential benefit: If successful, these methods could lower anastomotic tension and reduce postoperative leak or failure, improving recovery after tracheal resection.
How similar studies have performed: Maintaining postoperative neck flexion with chin‑to‑chest sutures or collars is a long‑standing surgical practice supported by clinical experience, but formal comparative trial data are limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * All pediatric and adult patients undergoing tracheal and cricotracheal resection for benign air way stenosis * All pediatric and adult patients undergoing tracheal and cricotracheal resection for malignant pathologies Exclusion Criteria: * patients with previous cervical spine surgery. * Congenital or acquired spinal deformities.
Where this trial is running
Sohag
- Sohag University hospital — Sohag, Egypt (Recruiting)
Study contacts
- Study coordinator: Abdelrahman Talal Mahmoud, Assisstent lecturer
- Email: abdelrahman_ahmed@med.sohag.edu.eg
- Phone: 01001317023
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.