title: Pediatric airway reconstruction with a prefabricated auricular cartilage and radial forearm free flap.
abstract: Prefabricated composite free flaps for complex airway reconstruction have been described for an adult series at our institution. We extended this approach to a pediatric patient with lifelong subglottic stenosis who had failed previous open airway reconstructions. A staged procedure was utilized in which a composite graft was created using conchal cartilages and a radial forearm free flap. This reconstruction improved the patency of her airway and decreased her dependency on intermittent airway dilations. Airway reconstruction with prefabricated conchal cartilage composite free flaps may be used as a salvage procedure for complex pediatric airway reconstruction when other methods have failed.
authors: Department of Otolaryngology-Head & Neck Surgery, Oregon Health & Science University, Portland, Oregon, U.S.A.
authors: Faisal I
authors: FI
authors: Ahmad
authors: Department of Otolaryngology-Head & Neck Surgery, University of Southern California, Los Angeles, Los Angeles, California, U.S.A.
authors: Karla
authors: K
authors: O'Dell
authors: Department of Otolaryngology-Head & Neck Surgery, Dwight D. Eisenhower Army Medical Center, Fort Gordon, Georgia, U.S.A.
authors: Jessica J
authors: JJ
authors: Peck
authors: Department of Otolaryngology-Head & Neck Surgery, Oregon Health & Science University, Portland, Oregon, U.S.A.
authors: Mark K
authors: MK
authors: Wax
authors: Department of Otolaryngology-Head & Neck Surgery, Oregon Health & Science University, Portland, Oregon, U.S.A.
authors: Henry A
authors: HA
authors: Milczuk
mesh_terms: D002648:Child; D004425:Ear Cartilage / Q000637:transplantation*; D005260:Female; D005542:Forearm; D058752:Free Tissue Flaps; D006801:Humans; D007829:Laryngostenosis / Q000150:complications / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D014132:Trachea / Q000601:surgery*
keywords: Pediatric; graft free tissue transfer; microvascular; sublottic stenosis