title: [Reconstruction of laryngotracheal defect using the musculo-periosteum flap of the sternocleidomastoideus with clavicular periosteum].
abstract: 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.
authors.affiliation: Department of Otolaryngology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, China. lz_yuxing@sina.com
authors.forename: Zhi
authors.initials: Z
authors.lastname: Liu
authors.forename: Wenxian
authors.initials: W
authors.lastname: Chen
authors.forename: Pengcheng
authors.initials: P
authors.lastname: Cui
authors.forename: Penfei
authors.initials: P
authors.lastname: Gao
authors.forename: Jiasheng
authors.initials: J
authors.lastname: Lou
authors.forename: Limei
authors.initials: L
authors.lastname: Zhong
mesh_terms: 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