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KMID : 0378019820250010043
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New Medical Journal
1982 Volume.25 No. 1 p.43 ~ p.50
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Laryngeal and Tracheal Reconstruction with Composite Graft
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Abstract
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The clearance of etiology and pathophysiology of laryngeal and tracheal stenosis resulted importent progress in prevention and treatment. Recently through the advancement of surgical management better results were obtained.
In 1896 Konig had been carried out tracheoplasty with cartilage for the first time; since then septal cartilage, costal cartilage, hyoid bone, auricular cartilage and various tissue have been used. Although many authors had different opinions about advantages of various tissue usage, among them_ auricular cartilage composite graft including skin layer was accepted widely because it can be used to extended laryngeal and tracheal stenosis and can be maintained laryngeal and tracheal lumen roundly due to its curvature. The hyoid bone graft, the composite graft of hyoid bone transposed with sternohyoid muscle pedicle, achieved good results in laryngeal and tracheal stenosis because in addition to easy obtainment of graft material in same operation field and easy fixation of graft, good vascularity can be maintained.
In past year and first half of this year we performed successfully laryngeal or tracheal reconstruction with auricular cartilage as composite graft including skin in 3 cases of laryngeal or tracheal stenosis and with hyoid bone and sternohyoid muscle pedicle as vascularized hyoid transposition in 2 cases; we obtained satisfactory results except one case (case 3). So we described surgical procedure in detail, problems, results and discussion.
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