title: Long-term results of the sternohyoid myocutaneous rotary door flap for laryngotracheal reconstruction.
abstract: In the past 8 years, 45 patients with laryngotracheal stenosis have undergone reconstruction with the sternohyoid myocutaneous rotary door flap (RDF) technique at Tang Du Teaching Hospital in Xi'an, China. All patients were tracheostomy-dependent before reconstruction. Thirty-six patients had previously undergone 2 to 7 surgical procedures. Forty-one of the 45 patients (91%) were successfully decannulated. Decannulation failed in the other 4 because of RDF prolapse into the tracheal lumen or because of hypertrophic scar in the operative region. The follow-up period ranged from 1 to 8 years. Forty of the 41 patients had a stable airway and effective voice, and 1 patient had restenosis 3 years after decannulation. The results demonstrate that the RDF technique is a relatively simple and effective way to treat patients with laryngotracheal stenosis.
authors.affiliation: Department of Otolaryngology, Tang Du Teaching Hospital, Xi'an, People's Republic of China.
authors.forename: Wen-Xian
authors.initials: WX
authors.lastname: Chen
authors.forename: Yan-Yan
authors.initials: YY
authors.lastname: Ruan
authors.forename: Peng-Cheng
authors.initials: PC
authors.lastname: Cui
authors.forename: Yong-Zhu
authors.initials: YZ
authors.lastname: Sun
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007829:Laryngostenosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013524:Surgical Flaps; D014135:Tracheal Stenosis / Q000601:surgery*