Reconstruction of the larynx and trachea.
This article involves an analysis of 43 patients who underwent 64 reconstructive procedures for laryngeal and/or tracheal defects at The Ohio State University (Columbus). The purpose of this report is to analyze the results of a variety of reconstructive techniques in order to formulate a recommended therapeutic approach. Utilizing this therapeutic approach, 77% of the reconstructions were totally successful in providing an airway not requiring a tracheotomy tube and a voice capable of communication. Another 16% of the reconstructions were considered partially successful, requiring a permanent airway tube due to limitations created by coexisting health problems. There have been no patients where airway reconstruction was totally unsuccessful. A generalized approach to reconstruction is presented.
Schuller
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DE
Department of Otolaryngology, Ohio State University, Columbus 43210.
Parrish
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RT
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D007822:Laryngeal Neoplasms / Q000601:surgery; D007829:Laryngostenosis / Q000209:etiology / Q000601:surgery; D007830:Larynx / Q000601:surgery*; D008297:Male; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D014132:Trachea / Q000601:surgery*; D014135:Tracheal Stenosis / Q000601:surgery