Advertisement
Research Article| Volume 46, ISSUE 1, P32-35, 1993

Reconstruction of the cervical trachea with a free forearm flap

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      With the aim of voice restoration after repair of a total defect or obstruction of the cervical trachea, we developed a new method of total cervical tracheal reconstruction with a free forearm flap. The forearm flap is inverted to form a tube and then interposed between the subglottic trachea and an adjacent cutaneous fistula created at the upper portion of the tracheostoma. A permanent tracheostoma is preserved, and an L-shaped silicone tube is inserted in the reconstructed cervical trachea and the tracheostoma as a stent. In two patients, both became able to speak.

      Reference

        • Eliachar I.
        • Moscona A.R.
        Reconstruction of the laryngotracheal complex in children using the sternocleidomastoid myocutaneous flap.
        Head and Neck Surgery. 1981; 4: 16
        • Eliachar I.
        • Goldsher M.
        • Adler O.
        • Joachim H.Z.
        Combined treatment of concurrent laryngeal and tracheal stenosis.
        Journal of laryngology and Otology. 1979; 93: 59
        • Fleischer A.
        • Khafif R.
        Reconstruction of the mediastinal trachea with a tubed pectoralis major myocutaneous flap.
        Plastic and Reconstructive Surgery. 1989; 84: 342
        • Fry T.L.
        • Fischer N.D.
        • Pillsbury H.G.
        Tracheal reconstruction with pedicled thyroid cartilage.
        Laryngoscope. 1985; 95: 60
        • Grillo H.C.
        Circumferential resection of the mediastinal and cervical trachea.
        Annals of Surgery. 1965; 162: 374
        • Grillo H.C.
        Tracheal surgery.
        Scandinavian Journal of Thoracic and Cardiovascular Surgery. 1983; 17: 67
        • Hirose T.
        • Tomono T.
        • Matsuo K.
        • Yamamoto K.
        Reconstruction of late laryngo-tracheal stenosis in a one stage operation by cervical flap and cartilage transplantation.
        Chirurgia Plastica. 1986; 8: 233
        • Jones R.E.
        • Morgan R.F.
        • Marcella K.L.
        • Mills S.E.
        • Kron I.L.
        Tracheal reconstruction with autogenous jejunal microsurgical transfer.
        Annals of Thoracic Surgery. 1986; 41: 636
        • Kambic V.
        • Godina M.
        • Zupevc A.
        Epithelialized microvascular iliac crest flap for reconstruction of subglottic and upper tracheal stenosis.
        American Journal of Otolaryngology. 1986; 7: 157
        • Keim W.F.
        • Newark N.J.
        Total reconstruction of the cervical trachea.
        Archives of Otolaryngology. 1970; 91: 501
        • Konno N.
        • Togawa K.
        • Kitamura T.
        Primary reconstruction of the cervical trachea following extirpation of the thyroid cancer that invaded the trachea.
        Otolaryngology (Tokyo). 1976; 48: 171
        • Narodick B.G.
        • Pemberton A.H.
        • Warman L.W.
        Tracheoplasty by means of a periosteal pedicle graft.
        Journal of Thoracic and Cardiovascular Surgery. 1964; 47: 572
        • Pashley N.R.T.
        • Jaskunas J.M.
        • Waldstein G.
        Laryngotracheoplasty with costochondral grafts: a clinical correlate of grafts survival.
        Laryngoscope. 1984; 94: 1493
        • Whited R.E.
        Experimental and clinical reconstructive surgery of the larynx and trachea.
        Archives of Otolaryngology. 1984; 110: 315