Reconstruction of late laryngo-tracheal stenosis in a one stage operation by cervical flap and cartilage transplantation

1986 ◽  
Vol 8 (4) ◽  
pp. 233-242 ◽  
Author(s):  
T. Hirose ◽  
T. Tomono ◽  
K. Matsuo ◽  
K. Yamamoto
1996 ◽  
Vol 34 (3) ◽  
pp. 245-252 ◽  
Author(s):  
Patrick Froehlich ◽  
Donald B. Kearns ◽  
Allan B. Seid ◽  
Seth M. Pransky ◽  
Jean-Paul Chappuis ◽  
...  

1989 ◽  
Vol 98 (1) ◽  
pp. 37-40 ◽  
Author(s):  
Isaac Eliachar ◽  
Keith B. Welker ◽  
Jay K. Roberts ◽  
Harvey M. Tucker

Most attempts at laryngeal reconstruction have sought to reestablish skeletal support. Bone and cartilage grafts have been used for this purpose, but they have often failed to maintain position in the larynx and/or trachea following reconstruction, and they tend to be reabsorbed. The rotary door flap can provide an undelayed, one-stage epithelial resurfacing of the larynx and trachea while simultaneously restoring luminal support without the need for transfer of cartilage or bone. Luminal support for the trachea is provided by the bulk, turgor, and anterior traction of the intact sternohyoid muscle, which serves as the carrier for the rotated skin island. During inspiration the intact muscle, whose points of attachment are anterior to the plane of the larynx and trachea, contracts and tends to open the airway to provide dynamic luminal support. The need for internal stenting is minimized. The technique is described and experience in 20 patients is presented.


1981 ◽  
Vol 89 (1) ◽  
pp. 92-95 ◽  
Author(s):  
Kraig C. McGee ◽  
James W. Nagle ◽  
Robert J. Toohill

This study uses seven large adult canines. Microendoscopic forceps and electrocautery excisions of subglottic and upper tracheal mucosa, perichondrium, and cartilage results in stenoses in all animals. Four partial lesions are created in the upper trachea, and three complete stenoses occur in the subglottic region. Five of the animals require permanent tracheostomy. Three months later six animals have excisions with the CO2 laser, and one animal with upper tracheal stenosis is a control. After three months follow-up, two of the canines with upper tracheal stenosis show a slightly improved airway and one remains the same as preexcision. All three animals with subglottic lesions redevelop complete stenosis.


2017 ◽  
Vol 70 (5) ◽  
pp. 666-672 ◽  
Author(s):  
Sang Hyun Woo ◽  
Chi Young Bang ◽  
Hee-Chan Ahn ◽  
Sung-Jung Kim ◽  
Jun-Young Choi

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