Differential scanning calorimetric examination of the tracheal cartilage after primary reconstruction with continuos sutures: A preliminary study

Acquired upper airway stenosis is usually associated with a complex of pathological conditions at the high tracheal and the subglottic levels. Reported reconstructive techniques include widening of the airways by incorporation of grafts, segmental resection, and anastomosis or combined procedures. Progress in anaesthesia, surgical techniques, and understanding of the pathophysiology of the trachea has made primary tracheal reconstruction a safe operative procedure, although there are no reports observing its acute effect on the tracheal cartilage. Differential scanning calorimetry (DSC) is a well-established method for the demonstration of thermal consequences of local and global conformational changes in biological systems, including hyaline cartilage, but it has never been applied for the investigation of tracheal cartilage. According to the present study, the thermograms may prove the presence of structural changes of the cartilage after primary reconstruction in the short-term follow up (smaller melting temperature and calorimetric enthalpy in the operated dog). The differences were clearly demonstrated between the intact cartilages and the ones involved in the anastomosis.