To release tension on the area of anastamosis (or joining segement) maneuvers such as tracheal release, or suprahyoid release may be performed. This allows for increased manipulation of the two ends to provide for closure of the defect.
After surgery a breathing tube may be placed into the airway while the trachea heals. A stitch between the chin and chest, known as a Grillo stitch may also be placed to remove any tension from the trachea.
The recurrent laryngeal nerves travel on either side of the trachea from the chest to the larynx or voice box to control vocal fold motion, sound production, and coordination of breathing and swallowing. Damage to the recurrent laryngeal nerves is possible after tracheal resection, which could potentially weaken the voice. Breakdown at the area of stitch placement, or anastamotic site is a risk of this surgery as well.