Repair of a complete glottic-subglottic stenosis with a fibular osseocutaneous free flap.
Reconstruction of extensive laryngotracheal stenosis remains a formidable challenge. The ideal reconstructive technique has not been found because of the variability in the complexity and degree of laryngotracheal stenosis and the challenge of wound healing in a contaminated tubular structure. The application of microvascular free-tissue transfer in laryngotracheal reconstruction is limited. We used a fibula osseocutaneous revascularized flap for reconstruction of a complex laryngotracheal stenosis. The clinical course, long-term follow-up, and potential advantages and disadvantages are discussed.
Esclamado
R M
RM
Department of Otolaryngology and Communicative Disorders, Cleveland Clinic Foundation, Ohio, USA.
Carroll
W R
WR
D000328:Adult; D016025:Bone Transplantation; D005260:Female; D005360:Fibula; D006801:Humans; D007829:Laryngostenosis / Q000601:surgery*; D012086:Reoperation; D016038:Skin Transplantation; D015607:Stents; D013524:Surgical Flaps / Q000379:methods