Panel discussion: the management of advanced laryngotracheal stenosis. Staged tracheal reconstruction.
A staged method of repair of extended tracheal and combined laryngotracheal stenosis is presented. This entails creation of a trough by exteriorization of the involved segments, implantation of an alloplastic material adjacent to it, and the subsequent hinged rotation of the embedded implant over the trough to create a semi-rigid anterior wall to the airway. The development, indications, technique and complications of this method of tracheal reconstruction are discussed.
D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D007829:Laryngostenosis / Q000209:etiology / Q000601:surgery*; D008722:Methods; D019736:Prostheses and Implants; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery*; D014140:Tracheotomy / Q000009:adverse effects