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KMID : 0361020070500070646
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Korean Journal of Otolaryngology - Head and Neck Surgery
2007 Volume.50 No. 7 p.646 ~ p.649
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Two Cases of Adenoid Cystic Carcinoma of the Trachea: Laryngotracheal Reconstruction with Sternocleidomastoid Myoperiosteal Flap
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Oh So-Jung
Kim Hyun-Su
Kim Jin-Hwan
Rho Young-Soo
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Abstract
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Adenoid cystic carcinoma of the trachea, although rare, is the second most common primary tumor of the trachea. It has a local infiltration and potential for regional and distant metastasis. Complete resection is the management of choice. But complete resection must be followed by proper reconstruction of laryngotrachea. The sternocleidomastoid myoperiosteal flap is an excellent technique for subglottic or tracheal reconstruction in selected cases of primary trachea tumor. The advantages of the sternocleidomastoid myoperiosteal flap lie in its single-stage reconstruction, the ease of the procedure, the relatively low complication rate, stabilization of the airway with good phonation, and long-term success. We report 2 cases of laryngotracheal reconstruction with sternocleidomastoid myoperiosteal flap. Both patients had acceptable airway patency and good phonation.
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KEYWORD
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Adenoid Cystic Carcinoma, Reconstructive surgical procedures, Surgical flaps, Trachea
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