title: [Tracheal replacement grafts: current options].
abstract: A critical review of publications on tracheal reconstruction is presented. The extent of the resection defect in terms of horizontal circumference or longitudinal extension determines the difficulty of the reconstruction. To allow a valid comparison, a classification of tracheal defects is proposed. The reconstruction materials can be subdivided into synthetic grafts, autografts, allografts, and bioengineering constructs. Reconstruction of tracheal defects greater than half of the tracheal length was not possible until recently. Numerous publications on animal experimental techniques, and rare human case reports show few successful outcomes. During the last five years, new reconstructive options have emerged: autograft of composite flaps mimicking tracheal architecture and bioengineered tracheal constructs.
authors: Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale, HUG, Genève 14. pavel.dulguerov@hcuge.ch
authors: Pavel
authors: P
authors: Dulguerov
authors: Paola M
authors: PM
authors: Soccal
authors: Salim
authors: S
authors: Bouayed
authors: Olivier
authors: O
authors: Huber
authors: Brigitte
authors: B
authors: Pittet
mesh_terms: D006801:Humans; D023822:Tissue Engineering; D016378:Tissue Transplantation; D014132:Trachea / Q000601:surgery*