WANG Huizhong , LUAN Xinyong , LI Yong.
  • Department of Otolaryngology, Qilu Hospital of Shandong University, Jinan Shandong, 250012, P. R.China;
Airway trauma; Laryngostenosis; Tracheal stenosis; Laryngotracheoplasty
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Objective To investigate the application and long-termresults of epiglottic in reconstruction of the traumatic laryngotracheal stenosis.Methods From January 1988 to February 2002, 42 patients with traumatic laryngotracheal stenosis were treated, including 33 laryngeal stenosis and9 laryngotracheal stenosis. The following surgical treatment were performed: ① lowered epiglottic andbi-pedicled sternohyoid myofascial flap and ② lowered epiglottic and bipedicledsternohyoid myofascial flap and sternocleidomastoideus clavicle membrane flap. Results Thirty-seven patients(88.1%) were successfully decannulated 10 to 75 daysafter operation. Feeding tube lasted from 9 to 24 days, all the patients rehabilitated deglutition after surgery. The time of using stent was 9 to 19 days in 25cases.All patients were followed up 1 year to 3 years and 4 months. The function of larynx recovered completely in 37 decannulated patients and partially in 5cannulated patients. Conclusion Epiglottic- has the advantages of easy gain, high antiinfection and survival rate, and stable structure. A combination of epiglottic and the bipedicled sternohyoid myofascial flap plus sternocleidomastoideus clavicle membrane flap can repair large laryngeal and tracheal defects.

Citation： WANG Huizhong,LUAN Xinyong,LI Yong.. APPLICATION OF EPIGLOTTIC IN RECONSTRUCTION OF TRAUMATIC LARYNGOTRACHEAL STENOSIS. Chinese Journal of Reparative and Reconstructive Surgery, 2005, 19(2): 138-140. doi: Copy