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.