title: Microvascular cricoid cartilage reconstruction with the thoracodorsal artery scapular tip autogenous transplant.
abstract: Conservation laryngeal surgery has been limited by difficulties with partial resection of the cricoid. Numerous options have been suggested that include temporoparietal flaps, free cartilage grafts, radial forearm free tissue transfers, and tracheal autotransplantation with vascular carriers. The authors present a one-stage procedure for the reconstruction of the cricoid cartilage based on the thoracodorsal artery scapular tip (Tdast) autogenous transplant that uses the curved tip of the scapula and does not create a secondary tracheal defect. Because the Tdast is a vascularized graft it may withstand radiation treatment.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan 48109-0312, USA.
authors.forename: Eric J P
authors.initials: EJ
authors.lastname: Chanowski
authors.forename: Marc J
authors.initials: MJ
authors.lastname: Haxer
authors.forename: Douglas B
authors.initials: DB
authors.lastname: Chepeha
mesh_terms: D002813:Chondrosarcoma / Q000175:diagnosis / Q000601:surgery*; D003413:Cricoid Cartilage / Q000098:blood supply / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D007828:Laryngoscopy; D008833:Microcirculation; D008875:Middle Aged; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods*; D012540:Scapula / Q000098:blood supply / Q000637:transplantation*; D013895:Thoracic Arteries / Q000637:transplantation*; D014182:Transplantation, Autologous