Composite hyoid-sternohyoid interposition graft in the surgical treatment of laryngotracheal stenosis
| Autor: | Jerôme Keghian, Marc Remacle, Georges Lawson, D Orban |
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| Rok vydání: | 2001 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Surgical Flaps Pulmonary function testing Cricoid Cartilage Tracheotomy Imaging Three-Dimensional Postoperative Complications medicine Image Processing Computer-Assisted Humans Aged business.industry Thyroid Hyoid bone Hyoid Bone Postoperative complication Laryngostenosis General Medicine Middle Aged medicine.disease Surgery Stenosis medicine.anatomical_structure Otorhinolaryngology Female business Tomography X-Ray Computed Tracheal Stenosis Laryngotracheal stenosis Follow-Up Studies |
| Zdroj: | European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. 257(10) |
| ISSN: | 0937-4477 |
| Popis: | This article reports six patients with severe laryngotracheal stenosis. The causes of stenosis were tracheotomy (two cases); prolonged endotracheal intubation (one case); laryngeal trauma (two cases); and surgery with postoperative chemo- and radiotherapy, addressing a thyroid gland follicular adenocarcinoma (one case). Two patients were already tracheotomized. The main postoperative complication was necrosis of the graft in a female patient who had previously undergone treatment for thyroid follicular adenocarcinoma. All patients were decannulated 6 months postoperatively. Five patients were then regularly followed up, but we lost contact with one patient. Comparison between pre- and postoperative pulmonary function testing revealed an increased maximum inspiratory flow (Vi max50) in five cases between 0.57 l/s and 2.18 l/s. A helical scan with 3-dimensional reconstruction of the cervical area in four patients confirmed the presence and preservation of the hyoid bone graft. Four patients remained satisfied with their postoperative voice quality, one patient was dissatisfied, and one patient was not followed up. This technique is effective in adults with severe laryngotracheal stenosis, restricted to the first tracheal rings, providing one takes into consideration the main contraindications of the procedure: past history of radiotherapy and thyroid surgery. |
| Databáze: | OpenAIRE |
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