Laryngotracheal reconstruction using iliac crest graft: an institutional experience

Bhavana, Kranti; Tyagi, Isha; Ramani, Mukesh Kumar

doi:10.1007/s12070-010-0017-5

Cited by 5 publications

(3 citation statements)

References 10 publications

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“…9 The laryngotracheal region was also reconstructed with iliac crest free flap 21 or part of iliac crest without vascularization. 22 An interesting reconstruction of the cricoid was proposed by Chanowski. He used the vascularized tip of the scapula with a buccal mucosal graft.…”

Section: Case Reportmentioning

confidence: 99%

The reconstruction of large laryngeal defect with medial condyle femur corticoperiosteal free flap—a case report

Banaszewski

Gaggl

Buerger³

et al. 2015

Microsurgery

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The larynx is a complicated organ with very important functions. Reconstructive operations of the larynx often result in some function reduction caused by scars and stenoses. The aim of this report is to present the results of the one-stage reconstructive operation after a large excision of the chondrosarcoma of the larynx. The patient was male, aged 48 with the history of the operation of the highly mature cartilaginous sarcoma of the thyroid on the right side with tumor recurrence. The one-stage reconstructive surgery using medial condyle femur corticoperiosteal free flap which reshaped the cartilage scaffold and restored an inner layer as the mucosa was made. The flap survived without local and systemic complications. Six months follow-up revealed no local recurrence and good breathing results. There was no restriction of movement of the lower limbs. The patient returned to work previously performed. Results were shown in endoscopic examinations and computer tomography. The medial condyle femur corticoperiosteal free flap may be an option for reconstruction of large laryngeal defect with restoring its shape and inner layers.

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Section: Case Reportmentioning

confidence: 99%

The reconstruction of large laryngeal defect with medial condyle femur corticoperiosteal free flap—a case report

Banaszewski

Gaggl

Buerger³

et al. 2015

Microsurgery

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“…Often the results of these operations are not very satisfactory due to multiple factors. There have been many procedures and equal numbers of modifications for the treatment of laryngeal stenosis which in itself show that no one of the procedures is standard and treatment operations can vary according to the need of the patient [5]. Recurrence rates remain high at 40 -70% over a period of months to years [6].…”

Section: Introductionmentioning

confidence: 99%

Surgical Management of Acquired Subglottic Stenosis in Patients Attending Al-Thawrah Teaching Hospital

Muthanna¹

2022

jchm

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Background: Subglottic stenosis is one of the most complex and challenging issues in the field of otolaryngology. The management involves a multidisciplinary approach with multiple procedures. The main aim of the management is to keep the airway patent and preserve voice production. The aim of the study was to evaluate the results of treatment methods of subglottic stenosis. Methods: The prospective study was conducted on 40 patients between January 2012 and March 2018 at Otorhinolaryngology Department, Al Thawra Teaching Hospital, Sana’a, Yemen. Results: Of the subglottic stenosis patients studied, 30 (75%) were male and 10 (25%) were female. The mean age was 18.6 years. High incidence of 60% was found in the age group (15-24 years) while less was found in the age group >34 years (7.5%). Grade III stenosis represented (50%) and grade IV (25%). Endoscopic dilation was successful in grade I (100%) and grade II (80%). The external approach was successful in 18/31 (58.1%), while the success rate in all grades was (67.5%). About 50% of the patients were presented with tracheostomy in place. Conclusion: Acquired subglottic stenosis causes airway compromise and significant morbidity to the patients. The management involves a multidisciplinary approach with multiple procedures. A large number of endoscopic and open procedures are currently in use for the treatment of this condition. There is no single method of treatment that is universally successful. Results of treatment are not very satisfactory due to multiple factors.

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“…Zhang et al [11] prepared a thyroid cartilage scaffold with different hydroxyapatite (HA) contents (volume fraction of 60%, 50%, 40%) through foam gel injection molding, which provided a new scaffold material for the repair and reconstruction of thyroid cartilage defects. Bhavana et al [12] used the Crista iliaca as a graft to repair defects of the laryngotracheal cartilage and restore function. However, there is limited autogenous cartilage, and this approach will present new trauma to the patient during transplantation, with potential postoperative complications, leading to the failure of the surgery.…”

Section: Introductionmentioning

confidence: 99%

Design and Molding of Thyroid Cartilage Prosthesis Based on 3D Printing Technology

Zhang

et al. 2022

Coatings

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The modeling efficiency, matching, and biocompatibility are key factors affecting the surgical success of a personalized thyroid cartilage prosthesis. We performed three-dimensional reconstruction of a thyroid cartilage prosthesis by combining reverse and forward methods, and then completed the prosthesis design with total or partial resection using a parametric modeling method. Direct manufacturing was performed using selective laser melting (SLM) molding equipment and TC4 material. The structure of the completed implant unit was optimized. The results show good modeling effects for the thyroid cartilage prosthesis with either total or partial resection by the parametric modeling method. Good matching performance was achieved, with overlap suspension between the pillars that meets the requirements of SLM manufacturing. Additionally, the use of SLM molding to produce the thyroid cartilage prosthesis resulted in less powder adhesion on the surface and no obvious nodulation between the porous pillars, allowing the direct use of the prothesis after simple post-treatment. Overall, these results should facilitate the direct application of personalized implants.

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Laryngotracheal reconstruction using iliac crest graft: an institutional experience

Cited by 5 publications

References 10 publications

The reconstruction of large laryngeal defect with medial condyle femur corticoperiosteal free flap—a case report

The reconstruction of large laryngeal defect with medial condyle femur corticoperiosteal free flap—a case report

Surgical Management of Acquired Subglottic Stenosis in Patients Attending Al-Thawrah Teaching Hospital

Design and Molding of Thyroid Cartilage Prosthesis Based on 3D Printing Technology

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