For most surgeons, TM-based surgeries are associated with complex approaches and lethal morbidities. Attributing to insufficient bronchotracheal blood supply, a variety of surgical procedures for TM co-existed yet none of them seemed to be the best ideal. Traditional approach for treating TM is aortopexy that surgeon make tracheal lumen be fixed with posterior aortic arch, which widely be applied to children patients [
5]. However, this surgical method brings to pericardial effusion, mediastinitis, respiratory distress, relapse of disease and a high risk of death. Intraluminal stenting is the result of noninvasive persuasion, and it proved high reasonability and low postoperative complications [
3,
4]. However migration of stent not only increase the rate of recurrence, also improve incidence of airway obstruction. Compared with other scaffold materials like 3D-prints and bio-syntheses, rib cartilage is easier to be obtained and higher histocompatibility, and its transplant approach is more simple as well as less cost. Takekawa et al. [
6] reported two teenagers of severe chest deformity suffered from TM caused by innominate artery compression. Through autologous cartilage graft and muscle flap suspension,airway obstruction was obviously released. In our study, by utilizing the advantage of autogenous rib cartilage, we overcame the exclusive reaction and guaranteed the flow of nutrient arteries. Furthermore, the series of postoperative CT scan showed that the grafts equipped with viability creeping the cartilage rings.
Some limitations of our surgical approach could not be ignored, excessive exposing and freeing tracheal tissues result in large wound and more bleeding, also this approach has a potential risk of damaging cervical artery and essential nerve. But this method we reported is a reliable suspending technique to reduce complications for treating patient of TM with large anterior mediastinal mass. We believe that more samples of TM can be recommended to recieve this tracheal suspension.