Priliminary study of pedicled sternocleidomastoid clavicular periosteocutaneous flap to repair the laryngotracheal defect.
- Author:
Wen LI
;
Liu YANG
;
Liqing YUAN
;
Deying GU
- Publication Type:Journal Article
- MeSH:
Back;
Carcinoma;
surgery;
Carcinoma, Papillary;
Carcinoma, Squamous Cell;
Clavicle;
Head and Neck Neoplasms;
Humans;
Laryngeal Neoplasms;
surgery;
Larynx;
Neck Muscles;
Neoplasm Recurrence, Local;
Reconstructive Surgical Procedures;
Squamous Cell Carcinoma of Head and Neck;
Stents;
Surgical Flaps;
Thyroid Cancer, Papillary;
Thyroid Neoplasms;
surgery
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2015;29(2):117-120
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the feasibility of utilizing pedicled sternocleidomastoid clavicular periosteocutaneous flap to reconstruct the laryngotracheal defect after tumor resection.
METHOD:To review 6 cases of laryngotracheal defect resulting from resction of thyroid papillary carcinoma(4/6) or subglottic laryngeal carcinoma (2/6) (T1~2N1~2M0 , UICC,2002), laryngotracheal stenting was also employed in all cases. Half a year after surgery, the stoma was sutured if no local recurrence took place and safety was proved after tracheal tube had been obstructed for days. The follow-up time lasted from half a year to 3 years.
RESULT:Four cases (4/6) were extubated successfully without event, one case could intermittently plug the tracheal tube. One patient couldn't breath with tracheal tube plugging.
CONCLUSION:To reconstruct the laryngotracheal defect with pedicled sternocleidomastoid clavicular.periosteocutaneous flap after tumor resection is feasible in selected cases and could get satisfactory clinical results either in respiration or phonation.
