2005
DOI: 10.1097/01.prs.0000148418.73596.74
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Total Reconstruction of the Trachea: A 22-Year Follow-Up

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Cited by 14 publications
(10 citation statements)
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“…To achieve the rigidity of the reconstructed trachea, artificial materials (e.g., polyester, polytetrafluoroethylene mesh, polyethylene, titanium mesh, and hydroxyapatite), (Ebihara et al, ; Yu et al, , ) rib cartilage, (Ch'ng et al, ; Ebihara et al, ; Fukunaga et al, ; Fujiwara et al, ; Hamahata et al, ; Teng et al, ) auricular cartilage, (Fujiwara et al, ; Koshima et al, ; Detwiller et al, ) clavicle, (Homma et al, ) radius, (Al‐Khudari et al, ), and femur (Kashiwa et al, ; Ninkovic et al, ) are used to prevent tracheal collapse during respiration. Since cartilage has been shown to resorb and cause airway collapse (Anderl & Haid, ; Yu et al, ), we use bone grafts in most cases (rib cartilage was used in one case). Cartilage is also fragile and subject to calcification in adults.…”
Section: Discussionmentioning
confidence: 99%
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“…To achieve the rigidity of the reconstructed trachea, artificial materials (e.g., polyester, polytetrafluoroethylene mesh, polyethylene, titanium mesh, and hydroxyapatite), (Ebihara et al, ; Yu et al, , ) rib cartilage, (Ch'ng et al, ; Ebihara et al, ; Fukunaga et al, ; Fujiwara et al, ; Hamahata et al, ; Teng et al, ) auricular cartilage, (Fujiwara et al, ; Koshima et al, ; Detwiller et al, ) clavicle, (Homma et al, ) radius, (Al‐Khudari et al, ), and femur (Kashiwa et al, ; Ninkovic et al, ) are used to prevent tracheal collapse during respiration. Since cartilage has been shown to resorb and cause airway collapse (Anderl & Haid, ; Yu et al, ), we use bone grafts in most cases (rib cartilage was used in one case). Cartilage is also fragile and subject to calcification in adults.…”
Section: Discussionmentioning
confidence: 99%
“…In our procedure, a vascularized radial forearm flap is transferred simultaneously at the time of tumor resection. To achieve the rigidity of the reconstructed trachea, artificial materials (e.g., polyester, polytetrafluoroethylene mesh, polyethylene, titanium mesh, and hydroxyapatite), (Ebihara et al, 2011;Yu et al, 2006Yu et al, , 2011 rib cartilage, (Ch'ng et al, 2012;Ebihara et al, 2011;Fukunaga et al, 2014;Fujiwara et al, 2009;Hamahata et al, 2017;Teng et al, 2005) shown to resorb and cause airway collapse (Anderl & Haid, 2005;Yu et al, 2011), we use bone grafts in most cases (rib cartilage was used in one case). Cartilage is also fragile and subject to calcification in adults.…”
Section: Discussionmentioning
confidence: 99%
“…Multilayer tracheal reconstruction was performed in 3 patients suffering from an extended cervical TCF. This fistula occurred in 2 patients (an 83‐year‐old woman and a 29‐year‐old man; see Figure ) as a serious complication after tracheotomy and in 1 patient (a 77‐year‐old woman) after a strumectomy with fistula recurrence after external tracheal reconstruction (see Figure ) . In all patients, almost the entire circumference of the tracheal scaffold, just below the cricoid cartilage up to the fourth tracheal cartilage, had been lost.…”
Section: Methodsmentioning
confidence: 97%
“…A short allograft may survive initially if wrapped with vascularized tissue, such as the omentum, but such reconstructions are prone to resorption and loss of rigidity, leading to stricture, airway collapse, and death. 14,15,16,17 These materials are particularly unsuitable for cancer patients because of the need for radiotherapy. Recent advances in tissue engineering show some promise, 18,19,20 but use of engineered tissue in cancer patients, who often require chemotherapy and radiation, can be very limited.…”
Section: ■ Introductionmentioning
confidence: 99%