Single-stage repair of subglottic stenosis using the radial forearm free flap as a vascularized carrier.
BACKGROUND
We present a case report of a patient with history of subglottic carcinoma who underwent chemoradiation and subsequently developed subglottic stenosis (SGS).


RESULTS
She was treated with an anterior cricoid split maintained by septal cartilage wrapped in a partially deepithelialized radial forearm free flap (RFFF). To date, with a follow-up of 6 months, the patient has been fully decannulated and has not experienced airway collapse or any other complications.


CONCLUSIONS
Upper airway reconstruction using a single-stage autogenous cartilage graft wrapped in a vascularized carrier is a real option for those patients with extensive SGS in the setting of an irradiated and devascularized tissue bed.
Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, St. Louis, Missouri, USA.
Kumar G
KG
Prasad
Mark A
MA
Varvares
Michael J
MJ
Odell
D000230:Adenocarcinoma / Q000601:surgery; D000368:Aged; D005260:Female; D005542:Forearm; D058752:Free Tissue Flaps / Q000098:blood supply*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery; D007829:Laryngostenosis / Q000209:etiology / Q000601:surgery*; D055171:Nasal Cartilages / Q000637:transplantation; D011183:Postoperative Complications