Microvascular cricoid cartilage reconstruction with the thoracodorsal artery scapular tip autogenous transplant.

Autor: Chanowski EJ; Department of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan 48109-0312, USA., Haxer MJ, Chepeha DB
Jazyk: angličtina
Zdroj: The Laryngoscope [Laryngoscope] 2012 Feb; Vol. 122 (2), pp. 282-5. Date of Electronic Publication: 2011 Dec 12.
DOI: 10.1002/lary.22386
Abstrakt: Conservation laryngeal surgery has been limited by difficulties with partial resection of the cricoid. Numerous options have been suggested that include temporoparietal flaps, free cartilage grafts, radial forearm free tissue transfers, and tracheal autotransplantation with vascular carriers. The authors present a one-stage procedure for the reconstruction of the cricoid cartilage based on the thoracodorsal artery scapular tip (Tdast) autogenous transplant that uses the curved tip of the scapula and does not create a secondary tracheal defect. Because the Tdast is a vascularized graft it may withstand radiation treatment.
(Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.)
Databáze: MEDLINE
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