CPT® Code 31766

A carinal reconstruction is a surgical procedure aimed at repairing the carina, which is the anatomical structure located at the junction of the trachea and the main bronchi. This ridge is critical for the proper functioning of the respiratory system, as it directs airflow into the right and left lungs. The procedure is typically indicated in cases where there is malignancy, tumor invasion, or injury to the carina, which can compromise respiratory function. The surgery can be approached from either the anterior or posterior aspect, depending on the specific clinical scenario and the surgeon's preference. The anterior approach involves a median sternotomy, allowing access through the chest wall, while the posterior approach utilizes a right posterolateral thoracotomy, providing a different angle of access. During the reconstruction, any diseased or damaged tissue is excised, and the carina is reconstructed by creating anastomosis sites for the bronchial tubes, ensuring that airflow can be properly directed into the lungs post-surgery. This complex procedure requires careful dissection and manipulation of surrounding structures, including major blood vessels and nerves, to achieve a successful outcome.