Auricular cartilage in the experimental repair of the trachea

Consiglio, V

doi:10.1097/00006534-197003000-00027

Cited by 2 publications

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“…Auricular cartilage, which was chosen for use in this study, was utilized for repair of tracheal wall defects in humans as early as 1961. 92 Subsequent experimental studies have further elaborated on the survival of auricular cartilaginous grafts: Consiglio confirmed long-term viability of auricular cartilaginous grafts in the repair of tracheal wall defects in dogs, 204 and Zalzal, et al observed no deterioration in grafts of autogenous auricular cartilage over time, as assessed histologically at 2 and 4 months postoperatively in rabbits. 2 The use of the rabbit as a model for airway experiments is well established.…”

Section: Experimental Experience With Cartilaginous Grafts To the Airwaymentioning

confidence: 97%

The Problem of Pediatric Laryngotracheal Stenosis: A Clinical and Experimental Study on the Efficacy of Autogenous Cartilaginous Grafts Placed Between the Vertically Divided Halves of the Posterior Lamina of the Cricoid Cartilage

Cotton

1991

The Laryngoscope

100

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Acquired laryngotracheal stenosis is a well‐documented complication of endotracheal intubation. Severe acquired laryngotracheal stenosis in children responds to surgical reconstruction, including the use of grafts and stents. The most commonly described graft material is autogenous cartilage, placed in the anterior laryngotracheal complex. The role of autogenous cartilaginous grafts sewn between the divided lamina of the posterior cricoid cartilage is less well established. Several authors report good clinical results using autogenous cartilaginous grafts to the posterior larynx; the single reported animal study of grafts to the posterior larynx failed to show significant benefit. This study was undertaken to examine the hypothesis that there is no difference in survival of anteriorly placed or posteriorly placed cartilaginous grafts in the larynx of growing rabbits, and to report on 61 pediatric patients with laryngotracheal stenosis treated with autogenous cartilaginous grafts placed between the vertically divided posterior lamina of the cricoid cartilage. The animal study showed that posteriorly placed grafts survived with viability equal to or better than that of anteriorly placed grafts. The clinical study showed that 59 of the 61 patients were decannulated with satisfactory vocal quality, good exercise tolerance and sleep patterns, and with no mortality.

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Section: Experimental Experience With Cartilaginous Grafts To the Airwaymentioning

confidence: 97%

The Problem of Pediatric Laryngotracheal Stenosis: A Clinical and Experimental Study on the Efficacy of Autogenous Cartilaginous Grafts Placed Between the Vertically Divided Halves of the Posterior Lamina of the Cricoid Cartilage

Cotton

1991

The Laryngoscope

100

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“…Once fibrous tissue deposition has formed and cicatricial stenosis has resulted, the only method for securing.an air passage is by surgery: different methods for the surgical management of sub-glottic stenosis have been described (Conley, 1953;El-Barbary and Nour El-Din, 1957;Ogura and Roper, 1962;Montgomery, 1968;Fearon and Cotton, 1972;Alanzo, 1976;Evans, 1977;Krajina and Vecerina, 1979;Eliachar et al, 1979). So also with the treatment of tracheal stenosis (Grillo, 1965;Bryce and Lawson, 1967;Pearson et al, 1968;Consiglio, 1969;Krizek and Kirchner, 1972).…”

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confidence: 99%