
Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Urology
- Thoracic Surgery
- Oral and Maxillofacial Surgery
- Emergency Surgery
- Obstetrics Surgery
- Plastic Surgery
- Breast Surgery
- Gastroenterological Surgery
Abstract
Citation: Clin Surg. 2019;4(1):2466.Research Article | Open Access
Composite Titanium Mesh and Sternohyoid Myocutaneous Flap for Laryngotracheal Reconstruction in Two Patients with Relapsing Polychondritis
Wenxian Chen, Limei Zhong, Yanyan Ruan, Yabin Zhang and Ka Bian
Department of Otorhinolaryngology, The Fourth Military Medical University, China
*Correspondance to: Wenxian Chen
PDF Full Text DOI: 10.25107/2474-1647.2466
Abstract
Objectives: To investigate and treat the long segment severe laryngotracheal malacia and stenosis due to relapsing polychondritis with composite titanium mesh and sternohyoid myocutaneous flap.
Methods: Between years 2008 and 2015, two patients with severe long segment laryngotracheal malacia and stenosis due to relapsing polychondritis were reconstructed with composite a rotary door sternohyoid myocutaneous flap for internal lining and titanium mesh as a framework to support the flap for airway augmentation and preventing the mesh exposure into the lumen, one or two-stage procedure was retrospectively analyzed.
Results: The two patients were decannulated successfully from nine months to two years postoperatively with good exercise tolerance and adequate voice production. There were no surgical complications during operation. Follow-up of four to eight years, all patients were breathing spontaneously and leading normal life.
Conclusion: Reconstruction of long segment severe laryngotracheal malacia and stenosis due to relapsing polychondritis with composite titanium mesh and rotary door sternohyoid myocutaneous flap is a safe and effective surgical option. Level of Evidence: A retrospective clinical study.
Keywords
Relapsing polychondritis; Laryngotracheal stenosis; Titanium mesh; Myocutaneous flap
Cite the article
Chen W, Zhong L, Ruan Y, Zhang Y,Bian K. Composite Titanium Mesh and Sternohyoid Myocutaneous Flap for Laryngotracheal Reconstruction in Two Patients with Relapsing Polychondritis. Clin Surg. 2019; 4: 2466.