Reconstruction of laryngotracheal defect using the musculo-periosteum flapof the sternocleidomastoideus with clavicular periosteum
10.3969/j.issn.1001-1781.2009.18.002
- VernacularTitle:带蒂胸锁乳突肌锁骨膜瓣在喉气管缺损修复中的应用
- Author:
Zhi LIU
;
Wenxian CHEN
;
Pengcheng CUI
;
Pengfei GAO
;
Jiasheng LUO
;
Limei ZHONG
- Publication Type:Journal Article
- Keywords:
musculo-periosteum flap;
sternocleidomastoideus;
clavicular periosteum;
tracheal defect;
laryngotracheal reconstruction
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2009;(18):821-823
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of the musculo-periosteum flap of the sternocleidomastoideus with clavicular periosteum on the reconstruction of extensiveness laryngotracheal defect. Method: Retrospectively studied 49 patients, who admited in our department from 1996 to 2005 years for severe laryngotracheal defect. There were 28 males and 21 females aged from 15 to 69 years old (mean age was 47 years old). The causes of laryngotracheal defect were laryngotracheal stenosis(31 cases) and surgery for thyroid carcinoma invading trachea (18 cases). All of 49 cases were treated with the graft of musculo-periosteum flap of the sternocleidomastoideus with clavicular periosteum and placed a silicon T-tube stenting for 3 to 6 months. Result; All of 49 cases were successfully decannulated with recuperative normal airway patency and effective phonation. The follow up ranged from 2 to 10 years, and the effect of operation was steady. Conclusion:The musculo-periosteum flap of the sternocleidomastoideus with clavicular periosteum is an ideal graft for the reconstruction of cervical extensiveness tracheal defect.
