Complex adult laryngotracheal reconstruction with a prefabricated flap: A case series

Kara Y. Detwiller; Joshua S. Schindler; Daniel S. Schneider; Robert Lindau; Mark K. Wax

doi:10.1002/hed.23335

Complex adult laryngotracheal reconstruction with a prefabricated flap: A case series

Kara Y. Detwiller, Joshua S. Schindler, Daniel S. Schneider, Robert Lindau, Mark K. Wax

Otolaryngology

Research output: Contribution to journal › Article › peer-review

13 Scopus citations

Abstract

Background: Laryngotracheal stenosis (LTS) can cause persistent or recurrent airway obstruction. Although there is extensive literature on surgical techniques to treat LTS at onset, there are few techniques described for complex adult LTS after failed prior airway surgery. We describe a procedure used successfully in 3 patients who required structural augmentation for complex LTS. Methods: Patients were treated with staged reconstruction using a prefabricated composite graft consisting of auricular cartilage and a radial forearm free flap. Results: All patients underwent successful reconstruction with good wound healing and are tolerating oral diets. Two patients have been successfully decannulated. Conclusion: A delayed prefabricated graft using auricular cartilage in a radial forearm free flap is a viable surgical intervention in patients with complex adult LTS who are not candidates for conventional approaches.

Original language	English (US)
Pages (from-to)	E376-E380
Journal	Head and Neck
Volume	35
Issue number	12
DOIs	https://doi.org/10.1002/hed.23335
State	Published - Dec 2013

Keywords

cricoid reconstruction
laryngotracheal reconstruction
laryngotracheal stenosis
prefabricated flap

ASJC Scopus subject areas

Otorhinolaryngology

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10.1002/hed.23335

Cite this

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title = "Complex adult laryngotracheal reconstruction with a prefabricated flap: A case series",

abstract = "Background: Laryngotracheal stenosis (LTS) can cause persistent or recurrent airway obstruction. Although there is extensive literature on surgical techniques to treat LTS at onset, there are few techniques described for complex adult LTS after failed prior airway surgery. We describe a procedure used successfully in 3 patients who required structural augmentation for complex LTS. Methods: Patients were treated with staged reconstruction using a prefabricated composite graft consisting of auricular cartilage and a radial forearm free flap. Results: All patients underwent successful reconstruction with good wound healing and are tolerating oral diets. Two patients have been successfully decannulated. Conclusion: A delayed prefabricated graft using auricular cartilage in a radial forearm free flap is a viable surgical intervention in patients with complex adult LTS who are not candidates for conventional approaches.",

keywords = "cricoid reconstruction, laryngotracheal reconstruction, laryngotracheal stenosis, prefabricated flap",

author = "Detwiller, {Kara Y.} and Schindler, {Joshua S.} and Schneider, {Daniel S.} and Robert Lindau and Wax, {Mark K.}",

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T1 - Complex adult laryngotracheal reconstruction with a prefabricated flap

T2 - A case series

AU - Detwiller, Kara Y.

AU - Schindler, Joshua S.

AU - Schneider, Daniel S.

AU - Lindau, Robert

AU - Wax, Mark K.

PY - 2013/12

Y1 - 2013/12

N2 - Background: Laryngotracheal stenosis (LTS) can cause persistent or recurrent airway obstruction. Although there is extensive literature on surgical techniques to treat LTS at onset, there are few techniques described for complex adult LTS after failed prior airway surgery. We describe a procedure used successfully in 3 patients who required structural augmentation for complex LTS. Methods: Patients were treated with staged reconstruction using a prefabricated composite graft consisting of auricular cartilage and a radial forearm free flap. Results: All patients underwent successful reconstruction with good wound healing and are tolerating oral diets. Two patients have been successfully decannulated. Conclusion: A delayed prefabricated graft using auricular cartilage in a radial forearm free flap is a viable surgical intervention in patients with complex adult LTS who are not candidates for conventional approaches.

AB - Background: Laryngotracheal stenosis (LTS) can cause persistent or recurrent airway obstruction. Although there is extensive literature on surgical techniques to treat LTS at onset, there are few techniques described for complex adult LTS after failed prior airway surgery. We describe a procedure used successfully in 3 patients who required structural augmentation for complex LTS. Methods: Patients were treated with staged reconstruction using a prefabricated composite graft consisting of auricular cartilage and a radial forearm free flap. Results: All patients underwent successful reconstruction with good wound healing and are tolerating oral diets. Two patients have been successfully decannulated. Conclusion: A delayed prefabricated graft using auricular cartilage in a radial forearm free flap is a viable surgical intervention in patients with complex adult LTS who are not candidates for conventional approaches.

KW - cricoid reconstruction

KW - laryngotracheal reconstruction

KW - laryngotracheal stenosis

KW - prefabricated flap

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Complex adult laryngotracheal reconstruction with a prefabricated flap: A case series

Abstract

Keywords

ASJC Scopus subject areas

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