title: Laryngotracheal reconstruction with a muscle-pedicle hyoid bone flap: a series of 23 patients.
abstract: We conducted a study to evaluate the effectiveness of muscle-pedicle hyoid bone flaps in the repair and reconstruction of the larynx and trachea in 23 patients who had undergone extended partial laryngectomy. Of this group, 17 patients had undergone surgery to correct laryngotracheal stenosis and 6 to remove laryngeal carcinoma. Intervention resulted in successful decannulation in 20 of the 23 patients (87.0%). Of the 3 patients who did not experience a successful outcome initially, 2 were successfully decannulated following a second intervention; the other patient required a total laryngectomy because of cancer recurrence. In light of our follow-up results, we conclude that hyoid bone appears to be an effective autograft in such cases.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Cerrahpasa Faculty of Medicine, University of Istanbul, Turkey. hcansiz@turk.net
authors.forename: Harun
authors.initials: H
authors.lastname: Cansiz
authors.forename: H Murat
authors.initials: HM
authors.lastname: Yener
authors.forename: Nihat
authors.initials: N
authors.lastname: Sekercioglu
authors.forename: Muammer
authors.initials: M
authors.lastname: Günes
mesh_terms: D000293:Adolescent; D000328:Adult; D016025:Bone Transplantation; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D006928:Hyoid Bone / Q000637:transplantation*; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007829:Laryngostenosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D014135:Tracheal Stenosis / Q000601:surgery*