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Long-term results of the hydroxylapatite for laryngotracheal framework reconstruction 被引量：1

Long-term results of the hydroxylapatite for laryngotracheal framework reconstruction
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摘要 Objective: To discuss the long-term results of the laryngotracheal (LT) reconstruction with a composites sternohyoid myocutaneous rotary door flap (RDF) and hydroxylapatite (HA) ring.Methods: Thirty-two patients suffered by LT stenosisn were treated through LT reconstruction with a composite sternohyoid myocutaneous RDF and HA ring, then we made long-term follow up. Results:Thirty of the 32 patients were successfully decannulated from 1 to 6 months postoperatively and the decannulation rate was 93%(30/32). Decannulated failed in 2 patients because of hypertrophic scar and infection in the operative region. The term of follow-up ranged from 1 to 10 years in 30 patients. patients had a stable airway and an effective voice. Conclusion: A composite sternohyoid myocutaneous RDF and HA ring is a relatively simple method with positive long-term effect for LT reconstruction. Objective: To discuss the long-term results of the laryngotracheal (LT) reconstruction with a composites sternohyoid myocutaneous rotary door flap (RDF) and hydroxylapatite (HA) ring.Methods: Thirty-two patients suffered by LT stenosisn were treated through LT reconstruction with a composite sternohyoid myocutaneous RDF and HA ring, then we made long-term follow up. Results:Thirty of the 32 patients were successfully decannulated from 1 to 6 months postoperatively and the decannulation rate was 93%(30/32). Decannulated failed in 2 patients because of hypertrophic scar and infection in the operative region. The term of follow-up ranged from 1 to 10 years in 30 patients. patients had a stable airway and an effective voice. Conclusion: A composite sternohyoid myocutaneous RDF and HA ring is a relatively simple method with positive long-term effect for LT reconstruction.
作者 阮炎艳 庞永刚 陈文弦
机构地区 Department of Otorhinolaryngology
出处 《Journal of Medical Colleges of PLA(China)》 CAS 2005年第3期178-181,共4页 中国人民解放军军医大学学报（英文版）
关键词 HYDROXYLAPATITE laryngotracheal reconstruction laryngotracheal stenosis 羟磷灰石 喉气管重建 治疗时间 手术治疗
分类号 R767 [医药卫生—耳鼻咽喉科]
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参考文献8

  • 1[1]Eliachar I, Roberts JK, Hayes JD et al . Laryngotracheal reconstruction. Sternohyoid myocutaneous rotary door flap[J]. Arch Otolaryngol Head Neck Surg, 1987 ;113(10): 1094.
  • 2[2]Eliachar I, Roberts JK, Welker KB et al. Advantages of the rotary door flap in laryngotracheal reconstruction: is skeletal support necessary[J]. Ann Otol Rhinol Laryngol, 1989;98(1 Pt 1):37.
  • 3[3]Chen WX, Ruan YY, Cui PC et al. Long-term results of the sternohyoid myocutaneous rotary door flap for laryngotracheal reconstruction[J]. Ann Otol Rhinol Laryngol, 2002; 111 ( 1 ): 93.
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同被引文献19

  • 1陈飞,梁传余,王力红,李彬,刘世喜,叶惠平.气管壁缺损的胸锁乳突肌锁骨瓣修复[J].中国耳鼻咽喉头颈外科,2005,12(11):698-700. 被引量：9
  • 2Cotton R. Management of subglottic stenosis in infancy and childhood. Review of a consecutive series of cases managed bysurgical reconstruction. Ann Otol Rhinol Laryngol, 1978, 87 (5 Pt1):649-657.
  • 3Eliachar I,Roberts JK,Hayes JD,et al. Laryngotracheal reconstruction. Sternohyoid myocutaneous rotary door flap. Arch Otolaryngol Head Neck Surg, 1987,113 (10):1094-1097.
  • 4YuP,dayman GL, Walsh GL. Human tracheal reconstruction with a composite radial forearm free flap and prosthesis. Ann Thorac Surg, 2006,81 (2):714-716.
  • 5Gatot A, Tovi F, Fliss DM. T-tube modification to decrease the risk of plugging. Head Neck, 1991, 13 (5):461-462.
  • 6Chantrain G, Deraemaecker R,Andry G, et al. Wide vertical hemipharyngolaryngectomy with immediate glottic and pharyngeal reconstruction using a radial forearm free flap:preliminary results. Laryngoscope, 1991, 101 (8):869-875.
  • 7Delaere P, Vranckx J, Verleden G, et al. Tracheal allotransplantation after withdrawal of immunosuppressive therapy. N Engl J Med, 2010,362 (2):138-145.
  • 8Levashov YuN, Yablonsky PK, Cherny SM, et al. One-stage allotransplantation of thoracic segment of the trachea in a patient with idiopathic fibrosing mediastinitis and marked tracheal stenosis. Eur J Cardiothorac Surg,1993,7 (7):383-386.
  • 9Klepetko W, Marta GM, Wisser W, et al. Heterotopic tracheal transplantation with omentum wrapping in the abdominal position preserves functional and structural integrity of a human tracheal allograft. J Thorac Cardiovasc Surg, 2004,127 (3):862-867.
  • 10Omori K, Nakamura T, Kanemaru S, et al. Regenerative medicine of the trachea:the first human case. Ann Otol Rhinol Laryngol, 2005,114 (6):429-433.

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Journal of Medical Colleges of PLA(China)
2005年 第3期

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