Laryngeal reconstruction with free nonvascularized grafts from the buccal mucosa.
OBJECTIVE
This study was designed to investigate the suitability of nonvascularized healthy buccal mucosal graft in reconstruction of subglottic defects.


METHODS
The study was conducted over an 11-year period from 1985 to 1995. Seven nonvascularized healthy buccal mucosal grafts were used to provide coverage for subglottic defects. The indications for surgery included chondrosarcoma of the cricoid including two recurrent tumors and one patient with recurrent subglottic benign laryngeal stenosis. No stenting was used. Period of follow-up ranged from 1 to 10 years.


RESULTS
Graft take was successful in all cases without complications.


CONCLUSIONS
Healthy nonvascularized buccal mucosal graft is suitable for reconstruction of subglottic defects. Stenting is not required.
Tiwari
R
R
Department of Otolaryngology, Head and Neck Surgery, Academic Hospital VU, Amsterdam, The Netherlands.
D000368:Aged; D002813:Chondrosarcoma / Q000601:surgery*; D003413:Cricoid Cartilage / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009061:Mouth Mucosa / Q000637:transplantation*; D012189:Retrospective Studies