title: Laryngeal framework reconstruction using titanium mesh in glottic cancer after frontolateral vertical partial laryngectomy.
abstract: OBJECTIVE
  To investigate the feasibility and efficacy of laryngeal framework reconstruction using titanium mesh in patients with glottic cancer after frontolateral vertical partial laryngectomy.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  Defect of laryngeal framework, caused by frontolateral vertical partial laryngectomy in nine patients with T2 or T3 squamous cell carcinoma of glottic, were reconstructed with titanium mesh from 2007 to 2009. Computed tomography (CT) and fiberscopic examinations were performed at two weeks and three months postoperatively.
  
  
  RESULTS
  No aspiration and laryngeal stenosis was observed in the nine patients. CT scanning showed that titanium mesh was fastened well without displacement and deformity and that there was no laryngeal stenosis. Fiberscopic inspection showed that the larynx lumen was maintained well without stricture, shrinkage, and necrosis. No titanium mesh was exposed to the larynx lumen.
  
  
  CONCLUSIONS
  Titanium mesh was a good alternative for reconstruction of the laryngeal framework. It provided adequate structural support to maintain airway patency.
authors.affiliation: State Key Laboratory of Oncology in South China, Department of Head and Neck Surgery, Cancer Center, Sun Yat-Sen University, Guangzhou, Guangdong, P.R. China.
authors.forename: Xue-Kui
authors.initials: XK
authors.lastname: Liu
authors.forename: Quan
authors.initials: Q
authors.lastname: Zhang
authors.forename: Quan
authors.initials: Q
authors.lastname: Li
authors.forename: Wei-Wei
authors.initials: WW
authors.lastname: Liu
authors.forename: Hao
authors.initials: H
authors.lastname: Li
authors.forename: Zong-Yuan
authors.initials: ZY
authors.lastname: Zeng
authors.forename: Zhu-Ming
authors.initials: ZM
authors.lastname: Guo
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000601:surgery*; D005931:Glottis / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D019651:Plastic Surgery Procedures / Q000379:methods; D018570:Risk Assessment; D012494:Sampling Studies; D013526:Surgical Mesh; D014025:Titanium; D016896:Treatment Outcome
chemical_list: D014025:Titanium