[Method of epiglottis reconstruction].
A new technique of epiglottis reconstruction is proposed because of its loss at laryngeal resection for tumor or severe laryngeal injury or scarring. New epiglottis is created from a full-thickness graft taken from oral fundus in the projection of the lower edge of the root of the tongue. Outline of the epiglottis with the petal up is cut on the skin in this region (2.5 x 3.5 cm). The anterior margin of the outline is round, the bottom is square. Hairy skin inside the outline is removed. A cut is made throughout the layers of the oral cavity fundus only in that part of the outline which belongs to the petal. Along the outline only skin and subcutaneous fat are cut horizontally. The created petal is pushed to the pharyngeal cavity. The hole in the oral bottom is closed with connection of its upper edge with the lower one using two thick silk sutures through all thickness of the wall. Illustrations are provided for reconstruction of the epiglottis and lateral wall of the larynx removed during laryngeal resection for tumor.
Pal'chuk
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D004825:Epiglottis / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures