Tracheal reconstruction with pedicled thyroid cartilage.
Limited areas of tracheal stenosis have been repaired with a variety of techniques. More extensive upper tracheal defects present a greater challenge with less predictable success. The following is the description of yet another technique for reconstruction of extensive upper tracheal defects. We report on the use of a muscle-pedicled thyroid alar graft which carries its own blood supply and perichondrial covering, supplies a large, conveniently shaped graft, requires one operative site and one operative sitting, and has proven advantageous even in the comprised patient.
D006801:Humans; D007817:Laryngeal Cartilages / Q000601:surgery*; D007821:Laryngeal Muscles / Q000098:blood supply / Q000601:surgery; D013524:Surgical Flaps; D013957:Thyroid Cartilage / Q000098:blood supply / Q000601:surgery*; D014132:Trachea / Q000601:surgery*; D014135:Tracheal Stenosis / Q000601:surgery