Repair with sternohyoid muscle fascia after subtotal laryngectomy

Dong, Pin; Li, X; Wang, G; Chen, X; Xie, Jin; Nakashima, Tadashi

doi:10.1017/s0022215109005039

Cited by 5 publications

(5 citation statements)

References 11 publications

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“…In previous studies, the sternohyoid muscle was reported to be used for reconstruction of larynx or repair of laryngotracheoesophageal cleft without any adverse effect of neck movement. 8 – 10) For this case, the defect of esophagus was adjacent to the origin of left sternohyoid muscle; thus, we used the left sternohyoid muscle flap to repair the defect of the esophagus.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of the Esophagus with Sternohyoid Flap after Resection of a Large Cervical Esophageal Leiomyosarcoma

Wei

Tian

et al. 2023

ATCS

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Purpose: Reconstruction of the esophagus with sternohyoid muscle after enucleation of the cervical esophageal leiomyosarcoma (ELS) was rarely reported. Methods: A case of 55-year-old female with a large leiomyosarcoma in the cervical esophagus was reported. The tumor was enucleated, and the defect of the esophagus was patched with left sternohyoid muscle flap. Results: The patient recovered uneventfully after surgery. She has not had any discomfort with swallowing since surgery, and nowadays, there is not any recurrence and metastasis being detected. Conclusion: It is minimal invasive and simple to enucleate the cervical ELS and patch the defect of esophagus with sternohyoid muscle flap. For some selected patients, this method may be a promising surgical procedure to achieve both good swallowing function and satisfying prognosis.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of the Esophagus with Sternohyoid Flap after Resection of a Large Cervical Esophageal Leiomyosarcoma

Wei

Tian

et al. 2023

ATCS

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“…In 18 of the patients, the tracheostomy cannula could not be removed. Dong et al (2009) conducted a case series including 39 patients with cancer of the supraglottic larynx or piriform sinus. The supraglottis was reconstructed with a sternohyoid myofascial flap and 13 of 39 patients had a persisting airway stenosis depending on a tracheostomy cannula.…”

Section: Discussionmentioning

confidence: 99%

Functional reconstruction of the unilateral supraglottis and piriform sinus with a triple chimeric superficial circumflex iliac artery perforator flap after supraglottic laryngectomy: A case report

2022

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Preservation of laryngeal functions after supraglottic laryngectomy depends on both the extent of surgical resection and the type of reconstruction. Any reconstructive modality faces the challenges of preserving voice and swallow function due to the complex and dynamic anatomy of the larynx. In this report, we present a case in which the entire affected unilateral supraglottis and piriform sinus were functionally reconstructed using a triple chimeric superficial circumflex iliac artery perforator (SCIP) free flap. An extended unilateral supraglottic laryngectomy and neck dissection were performed in a 78-year-old male patient presenting with a supraglottic cT4a cN0 cM0 laryngeal cancer. The resulting defect was reconstructed using a triple chimeric SCIP flap from the right inguinal region intended to reconstruct the different affected compartments. It was based on three perforators and consisted of a 4 cm Â 3 cm fascial flap from the external oblique muscle and two fasciocutaneous paddles measuring 6 cm Â 2 cm and 3 cm Â 4 cm. The arterial and venous vessels were anastomosed to the superior thyroid artery and internal jugular vein. The fascial flap was used to reconstruct the aryepiglottic fold. The smaller fasciocutaneous paddle was utilized to reconstruct the affected piriform sinus and former thyroid cartilage compartment, while the larger fasciocutaneous paddle served as a monitor skin flap. The postoperative recovery was uneventful. Laryngeal functions including voice and deglutition were well-preserved after 4 months of rehabilitation. The patient showed no signs of chronic aspiration or tumor recurrence 6 and 12 months postoperatively. The pliable and versatile triple chimeric SCIP flap provides a useful free flap option for a tailored functional reconstruction after an extended supraglottic laryngectomy. Restoration of larynx elevation and mobility with the presented technique substantially improves swallow rehabilitation while preserving the voice.

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“…(Figure 7 ) The muscle group is expected to survive on the presence of the dominant pedicle, comprised of the cranial thyroid and superficial cervical arteries. 16 These muscles have been used to reconstruct the larynx in humans following subtotal laryngectomy 17 and laryngo‐tracheostomy 18 and to reconstruct total glossectomies in humans with tongue cancer. 19 In dogs, a similar muscle flap has been used experimentally to reinforce a tracheal end‐to‐end anastomosis 20 and to patch esophagotomy sites.…”

Section: Discussionmentioning

confidence: 99%

Sternohyoideus‐sternothyroideus muscle flap to reconstruct oronasal fistulas due to maxillary cancer in four dogs

2022

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Objective: To describe the repair of oronasal fistulas in dogs treated for maxillary cancer, with a novel sternohyoideus-sternothyroideus muscle flap, and to report the outcome.Animals: Client-owned dogs (n = 4) with oronasal fistulas related to cancer. Study design: Short case series.Methods: Maxillary defects were caused by tissue destruction by the tumor and tumor response to radiation therapy in two cases and a complication of caudal maxillectomy in two cases, one of which had neoadjuvant radiation therapy. All tumors were >4 cm at the level of the maxilla. Flaps were harvested by transecting the ipsilateral sternothyroideus and sternohyoideus muscles from their origin at the manubrium and costal cartilage. The muscles were rotated around the base of the cranial thyroid artery and tunneled subcutaneously in the neck and through an incision in the caudodorsal aspect of the oral cavity. The muscle flap was sutured to the edges of the oronasal fistula. Results: The flap reached as far rostral as the level of the first premolar without tension. All dogs had clinical signs that improved postoperatively. All dogs had partial dehiscence of the flap. Conclusion:This flap was associated with a high rate of complications; however, all flaps were used in challenging cases. Clinical signs related to oronasal fistula were improved in all dogs in this case series. | INTRODUCTIONOronasal fistulas are a potential complication following caudal maxillectomy and radiation therapy (RT) for a tumor that causes lysis of the hard palate and erosion of the oral mucosa in dogs. 1,2 Oronasal fistulas can cause nasopharyngitis, halitosis, chronic infection, nasal regurgitation and a diminished quality of life. 3 Case data from dog 1 was presented as a podium presentation at

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Repair with sternohyoid muscle fascia after subtotal laryngectomy

Abstract: Sternohyoid muscle fascia reconstruction leads to optimal repair of subtotal laryngectomy defects and restored laryngeal function.

Cited by 5 publications

References 11 publications

Reconstruction of the Esophagus with Sternohyoid Flap after Resection of a Large Cervical Esophageal Leiomyosarcoma

Reconstruction of the Esophagus with Sternohyoid Flap after Resection of a Large Cervical Esophageal Leiomyosarcoma

Functional reconstruction of the unilateral supraglottis and piriform sinus with a triple chimeric superficial circumflex iliac artery perforator flap after supraglottic laryngectomy: A case report

Sternohyoideus‐sternothyroideus muscle flap to reconstruct oronasal fistulas due to maxillary cancer in four dogs

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