Vascular-Pedicled Costal Cartilage Graft for the Treatment of Subglottic and Upper Tracheal Stenosis

2006 ◽  
Vol 2006 ◽  
pp. 183
Author(s):  
M.A. Keefe
1997 ◽  
Vol 32 (1) ◽  
pp. 54-57 ◽  
Author(s):  
Shinkichi Kamata ◽  
Noriaki Usui ◽  
Shiro Ishikawa ◽  
Yasuhiro Kitayama ◽  
Toshio Sawai ◽  
...  

2004 ◽  
Vol 39 (12) ◽  
pp. 1769-1771 ◽  
Author(s):  
K. Hashizume ◽  
Y. Kanamori ◽  
M. Sugiyama ◽  
T. Tomonaga ◽  
H. Nakanishi

2006 ◽  
Vol 59 (7-8) ◽  
pp. 309-316 ◽  
Author(s):  
Rajko Jovic ◽  
Borislav Baros ◽  
Dejan Djuric ◽  
Milorad Bjelovic ◽  
Karol Canji ◽  
...  

Introduction. There are numerous techniques for the treatment of laryngotracheal stenosis. The aim of this paper was to present surgical techniques and results of treatment of laryngeal and laryngotracheal stenosis in a ten-year period by retrospective analysis. Material and methods. Medical records of 34 patients (17 male and 17 female) surgically treated for laryngeal or laryngotracheal stenosis between 1995 and 2004 were analyzed. 19 (55.9%) patients had previous surgical procedures, whereas fifteen patients (44.1 %) were diagnosed and treated for the first time. Results. 5 patients had a glottic-subglottic stenosis, 11 patients had a subglottic stenosis, 16 patients had subglottic-tracheal stenosis and 2 patients had a glottic-subglottic-tracheal stenosis. 21 patients had normal vocal cord motion, 8 patients showed unilateral vocal cord fixation, and 5 had bilateral vocal cord fixation. Laryngotracheoplasty with anterior-posterior costal cartilage graft was performed in 24 patients, while single stage segmental laryngotracheal resection of the stenotic part was performed in 8 patients. One patient was operated in direct laryngomicroscopy and one with dilatation of the stenotic segment with T tube insertion. The most common complication was the development of granulation due to use of the Montgomery T-tube which was removed in direct laryngomicroscopy. Except for one patient, 33(97%) patients were decannulated. There was no perioperative mortality. Conclusion. Although laiyngotracheoplasty with anterior-posterior costal cartilage graft placement cannot be used in all cases of laryngotracheal stenosis, it was the method of choice in previously operated patients with segmental resection of the stenotic segment. This method requires use of Montgomery T-tube or anesthesiological tube, which is very hard to keep clean. Better recovery, short hospitalization and excellent results were obtained with the cricotracheal segmental resection. .


2001 ◽  
Vol 36 (2) ◽  
pp. 329-333 ◽  
Author(s):  
Takahuru Oue ◽  
Shinkichi Kamata ◽  
Noriaki Usui ◽  
Hiroomi Okuyama ◽  
Keisuke Nose ◽  
...  

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Connor McGuire ◽  
Osama A. Samargandi ◽  
Colton Boudreau ◽  
Ashley Whelan ◽  
Michael Bezuhly

2019 ◽  
pp. 461-470
Author(s):  
Melissa Kanack ◽  
Catherine Tsai ◽  
Amanda Gosman

Microtia may occur as an isolated finding or in conjunction with other associated anomalies or a genetic syndrome. Ear reconstruction for these patients is typically performed no earlier than 6 years of age. In this chapter, a staged autogenous method of ear reconstruction is described using costal cartilage. In the first stage, a costal cartilage graft is harvested and placed. The next stages involve lobule transposition, detachment of the auricle with placement of a posterior skin graft, and further refinement of the external ear landmarks with tragus creation and definition of the conchal bowl and ear canal.


Joints ◽  
2018 ◽  
Vol 06 (04) ◽  
pp. 246-250
Author(s):  
Antonio Gigante ◽  
Marco Cianforlini ◽  
Luca Farinelli ◽  
Riccardo Girotto ◽  
Alberto Aquili

AbstractFull-thickness articular cartilage defects do not heal spontaneously. Several techniques have been developed to address this issue, but none resulted in the restitutio ad integrum of the articular cartilage. The most frequent sites of chondral lesion in the knee are medial femoral condyle and patella. The patellofemoral lesions are characterized by outcomes that are generally worse than those of tibiofemoral ones. To date, it has been well recognized the chondrogenic potential of rib perichondrium, and costal cartilage grafts have been extensively used in reconstructive surgery. Considering the need to find a gold standard technique to restore articular defect, we developed and here described a new technique to repair cartilage lesions of the knee using autologous costal cartilage graft with its perichondrium. This innovative surgical approach can be used to treat full thickness articular defects using autologous hyaline cartilage, making it possible to cover wide defects. This one step technique is low invasive, not technically demanding with minimal donor site morbidity and it has low costs. The long-term clinical efficacy of the method remains to be evaluated.


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