[Reconstruction of laryngotracheal defect using the musculo-periosteum flap of the sternocleidomastoideus with clavicular periosteum].
OBJECTIVE
To investigate the effect of the musculo-periosteum flap of the sternocleidomastoideus with clavicular periosteum on the reconstruction of extensiveness laryngotracheal defect.


METHODS
Retrospectively studied 49 patients, who admitted in our department from 1996 to 2005 years for severe laryngotracheal defect. There were 28 males and 21 females aged from 15 to 69 years old (mean age was 47 years old). The causes of laryngotracheal defect were laryngotracheal stenosis (31 cases) and surgery for thyroid carcinoma invading trachea (18 cases). All of 49 cases were treated with the graft of musculo-periosteum flap of the sternocleidomastoideus with clavicular periosteum and placed a silicon T-tube stenting for 3 to 6 months.


RESULTS
All of 49 cases were successfully decannulated with recuperative normal airway patency and effective phonation. The follow up ranged from 2 to 10 years, and the effect of operation was steady.


CONCLUSIONS
The musculo-periosteum flap of the sternocleidomastoideus with clavicular periosteum is an ideal graft for the reconstruction of cervical extensiveness tracheal defect.
Liu
Zhi
Z
Department of Otolaryngology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, China. lz_yuxing@sina.com
Chen
Wenxian
W
Cui
Pengcheng
P
Gao
Penfei
P
Lou
Jiasheng
J
Zhong
Limei
L
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007829:Laryngostenosis / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010521:Periosteum / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013524:Surgical Flaps; D014132:Trachea / Q000601:surgery; D055815:Young Adult