Laryngotracheal reconstruction with autogenous rib cartilage graft for complex laryngotracheal stenosis and/or anterior neck defect

2013 ◽  
Vol 271 (2) ◽  
pp. 317-322 ◽  
Author(s):  
Liu Zhi ◽  
Wu Wenli ◽  
Gao Pengfei ◽  
Cui Pengcheng ◽  
Chen Wenxian ◽  
...  
Keyword(s):  
Laryngotracheal Stenosis ◽  
Cartilage Graft ◽  
Anterior Neck ◽  
Rib Cartilage ◽  
Laryngotracheal Reconstruction

scholarly journals Assessment of efficacy of laryngotracheal reconstruction with autogenous rib cartilage graft

New Medicine ◽  
2018 ◽  
Vol 22 (1) ◽  
Author(s):  
Lidia Zawadzka-Głos ◽  
Monika Jabłońska-Jesionowska
Keyword(s):  
Neonatal Period ◽  
Treatment Method ◽  
Endoscopic Examination ◽  
Subglottic Stenosis ◽  
Graft Material ◽  
Cartilage Graft ◽  
Airway Patency ◽  
Rib Cartilage ◽  
Early Neonatal Period ◽  
Laryngotracheal Reconstruction

Introduction. Subglottic stenosis may lead to respiratory failure, especially in newborns and small children. It is the most common indication for tracheostomy in order to maintain airway patency in this age group. Subglottic stenosis requires surgical treatment. Laryngotracheal reconstruction with autogenous rib cartilage graft is one of the many treatment methods. Aim. The aim of the study was to assess of efficacy of laryngotracheal reconstruction with autogenous rib cartilage graft. Material and methods. Clinical data of 8 children operated for subglottic stenosis has been analysed. The severity of stenosis was assessed during the endoscopic examination with the Myer?Cotton Grading System. The efficacy of treatment was understood as a possibility of decannulation. Results. The study group included 8 patients: 6 boys and 2 girls. All the children had been born prematurely between the 24th and 34th week of pregnancy and were intubated in the early neonatal period. In 5 cases, decannulation followed, and in 3 cases, the treatment proved to be not effective enough, as the children had additional health problems. Conclusions. Prematurely born children intubated in the early neonatal period are at risk of post-intubation subglottic stenosis. Laryngotracheal reconstruction with autogenous rib cartilage graft is an effective treatment method. Treatment outcomes are also dependent on the overall health status of the patient and coexisting tracheal lesions.

Single Stage Laryngotracheal Reconstruction with Anterior Cartilage Graft

CSurgeries ◽  
2021 ◽  
Author(s):  
Rajanya Petersson ◽  
Leandro Socolovsky ◽  
Rhea Singh
Keyword(s):  
Single Stage ◽  
Cartilage Graft ◽  
Laryngotracheal Reconstruction

Meyer Procedure for Severe Laryngotracheal Stenosis

1998 ◽  
Vol 107 (9) ◽  
pp. 745-752 ◽  
Author(s):  
Paul J. Donald
Keyword(s):  
Severe Form ◽  
Laryngotracheal Stenosis ◽  
Cartilage Graft ◽  
Structural Support ◽  
Second Stage ◽  
The Third ◽  
Third Stage ◽  
Last Stage ◽  
Composite Flap ◽  
Made In

Many surgical procedures have been devised to manage laryngotracheal stenosis secondary to trauma. Laryngotracheal atresia is the most severe form and the most difficult to repair. The Meyer procedure is a three-stage operation that provides structural support that is covered with mucosa. A laryngotracheal trough is created and a carved trough-shaped cartilage graft is placed above and lateral to it in the first stage. The skin over the graft is replaced by buccal mucosa in the second stage. In the last stage, the cartilage graft with overlying mucosa is swung onto the trough as a composite flap replacing the anterior and lateral laryngeal and tracheal walls. Attempt at reconstruction was made in 8 patients. All but one lesion was secondary to endotracheal intubation. Two patients were unable to be taken to completion of the third stage. Of the remaining 6 patients, all have a functional voice and only 1 remains cannulated at night.

scholarly journals A Modified Laryngeal Stent for Glotto-Subglottic Stenosis: A Novel Stent for Better Outcomes

2019 ◽  
pp. 014556131988307
Author(s):  
Jeffrey D. Wilcox ◽  
Michel Nassar
Keyword(s):  
Reconstructive Surgery ◽  
Subglottic Stenosis ◽  
Laryngotracheal Stenosis ◽  
Excellent Outcome ◽  
Laryngotracheal Reconstruction ◽  
And Function ◽  
Dependent Patient

Management of laryngotracheal stenosis is challenging and laryngotracheal stenosis is generally managed with laryngotracheal reconstruction. Stents are often used as part of the reconstructive surgery. Although most stents adequately stabilize the reconstruction during healing, they often do a poor job of mimicking glottic anatomy, particularly the anterior glottis. Here, we present a modified suprastomal stent designed to stabilize reconstruction after laryngotracheal reconstruction while also improving postoperative glottic anatomy and function. The case of a 15-year-old tracheostomy-dependent patient with glotto-subglottic stenosis who underwent laryngotracheal reconstruction using this modified stent is described. The patient had an excellent outcome with decannulation of her tracheostomy and significant improvement in voice.

Adjunctive Measures for Successful Laryngotracheal Reconstruction

1987 ◽  
Vol 96 (5) ◽  
pp. 509-513 ◽  
Author(s):  
Steven Gray ◽  
Charles M. Myer ◽  
Robert Miller ◽  
Robin T. Cotton
Keyword(s):  
Granulation Tissue ◽  
Reconstructive Surgery ◽  
Surgical Techniques ◽  
Laryngotracheal Stenosis ◽  
Surgical Tools ◽  
Diagnostic Skills ◽  
Laryngotracheal Reconstruction

The field of reconstructive surgery of the laryngotracheal complex has been the object of considerable enthusiasm in recent years. New surgical techniques, better surgical tools, and improved diagnostic skills all have contributed to a more confident approach to severe laryngotracheal stenosis. Just as the surgeon's judgment is crucial for a successful primary laryngotracheal reconstruction, so are his or her skill and judgment vitally important in managing the various problems that frequently are found following reconstructive surgery of the larynx and trachea. These problems, although seemingly minor, may prevent successful decannulation if not managed appropriately. This paper discusses the various problems that have been encountered while achieving decannulation following laryngotracheal reconstruction. An approach to such frustrating problems as suprastomal collapse, granulation tissue, and the inability to decannulate are presented.

Thyroid Alar Cartilage Graft Laryngotracheal Reconstruction in Adults

2011 ◽  
Vol 144 (5) ◽  
pp. 747-750 ◽  
Author(s):  
Pengcheng Cui ◽  
Pengfei Gao ◽  
Jiasheng Luo ◽  
Yanyan Ruan
Keyword(s):  
Alar Cartilage ◽  
Cartilage Graft ◽  
Laryngotracheal Reconstruction

Laryngotracheal Reconstruction for Subglottic Stenosis

1993 ◽  
Vol 102 (3) ◽  
pp. 176-181 ◽  
Author(s):  
Max M. April ◽  
Bernard R. Marsh
Keyword(s):  
Classification System ◽  
Costal Cartilage ◽  
Single Stage ◽  
Definitive Treatment ◽  
Johns Hopkins Hospital ◽  
Separate Analysis ◽  
Laryngotracheal Stenosis ◽  
The Past ◽  
Laryngotracheal Reconstruction ◽  
Cartilage Grafting

Laryngotracheal reconstruction (LTR) has been employed for the treatment of severe laryngotracheal stenosis for the past 6 years at Johns Hopkins Hospital. Thirty-one children underwent LTR with costal cartilage grafting, 24 of whom had Aboulker stents placed. Short stents were used in 22 patients. Six patients received definitive treatment in a single-stage LTR; 1 child had no stent placed. Twenty-six (84%) of the 31 patients were decannulated. It was concluded that decannulation can be obtained in selected patients with the short Aboulker stent or single-stage LTR. A new classification system for laryngotracheal stenosis, based on objective measurements and the separate analysis of posterior glottic fibrosis, was developed. The proposed classification system allows recommendations for treatment. Moreover, it can be easily reproduced and may facilitate comparison of results.

New Technique for Nipple Areola Reconstruction: Arrow Flap and Rib Cartilage Graft for Long-Lasting Nipple Projection

2003 ◽  
Vol 50 (1) ◽  
pp. 31-37 ◽  
Author(s):  
Aldo Benjamin Guerra ◽  
Kamran Khoobehi ◽  
Stephen Eric Metzinger ◽  
Robert Johnson Allen
Keyword(s):  
New Technique ◽  
Cartilage Graft ◽  
Rib Cartilage
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