title: The reconstruction of large laryngeal defect with medial condyle femur corticoperiosteal free flap--a case report.
abstract: The larynx is a complicated organ with very important functions. Reconstructive operations of the larynx often result in some function reduction caused by scars and stenoses. The aim of this report is to present the results of the one-stage reconstructive operation after a large excision of the chondrosarcoma of the larynx. The patient was male, aged 48 with the history of the operation of the highly mature cartilaginous sarcoma of the thyroid on the right side with tumor recurrence. The one-stage reconstructive surgery using medial condyle femur corticoperiosteal free flap which reshaped the cartilage scaffold and restored an inner layer as the mucosa was made. The flap survived without local and systemic complications. Six months follow-up revealed no local recurrence and good breathing results. There was no restriction of movement of the lower limbs. The patient returned to work previously performed. Results were shown in endoscopic examinations and computer tomography. The medial condyle femur corticoperiosteal free flap may be an option for reconstruction of large laryngeal defect with restoring its shape and inner layers.
authors.affiliation: Department of Otolaryngology and Laryngological Oncology, University of Medical Sciences Poznan, Poland.
authors.forename: Jacek
authors.initials: J
authors.lastname: Banaszewski
authors.affiliation: Department of Oral and Maxillofacial Surgery, Paracelsus Medical University Salzburg, Salzburg, Austria.
authors.forename: Alexander
authors.initials: A
authors.lastname: Gaggl
authors.affiliation: Privat Hospital Maria Hilf, Klagenfurt, Austria.
authors.forename: Heinz
authors.initials: H
authors.lastname: Buerger
authors.affiliation: Department of Otolaryngology and Laryngological Oncology, University of Medical Sciences Poznan, Poland.
authors.forename: Malgorzata
authors.initials: M
authors.lastname: Wierzbicka
authors.affiliation: Department of Otolaryngology and Laryngological Oncology, University of Medical Sciences Poznan, Poland.
authors.forename: Maciej
authors.initials: M
authors.lastname: Pabiszczak
authors.affiliation: Department of Otolaryngology and Laryngological Oncology, University of Medical Sciences Poznan, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Pastusiak
authors.affiliation: Department of Otolaryngology and Laryngological Oncology, University of Medical Sciences Poznan, Poland.
authors.forename: Witold
authors.initials: W
authors.lastname: Szyfter
mesh_terms: D002813:Chondrosarcoma / Q000601:surgery*; D005269:Femur / Q000637:transplantation*; D058752:Free Tissue Flaps / Q000637:transplantation*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*