| Posthemicricoidectomy reconstruction with a composite hyoid-sternohyoid osseomuscular flap: the Rethi-Ward technique. | |
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MedLine Citation:
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PMID: 17571274 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Our objective was to introduce a new technique for cricoid cartilage reconstruction. A 74-year-old male patient with a history of a 6-month progressively worsening dyspnea was found to have an extensive mass of the left cricoid cartilage. Although the extent of his disease would necessitate total laryngectomy, the patient underwent an open extended left hemicricoidectomy with reconstruction of the defect by a pedicled osseomuscular flap composed of the body of the hyoid bone and the contralateral sternohyoid muscle. Both frozen section and subsequent histopathological evaluation gave the diagnosis of a chondrosarcoma. A Montgomery T-tube was left in place for 3 months and was subsequently replaced by a tracheostomy tube to be removed 1 month later. Six months postoperatively, the patient remains in an excellent respiratory condition. The reconstructed site is patent without any signs of restenosis as up to date. We conclude that our technique appears to be a reliable alternative to total laryngectomy in cases of extended chondrosarcomas, as well as in cases where reconstruction of the cricoid cartilage is mandated. Further follow-up and additional cases are warranted. |
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Authors:
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A Hantzakos; A-S Evrard; G Lawson; M Remacle |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2007-06-15 |
Journal Detail:
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Title: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery Volume: 264 ISSN: 1434-4726 ISO Abbreviation: Eur Arch Otorhinolaryngol Publication Date: 2007 Nov |
Date Detail:
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Created Date: 2007-09-27 Completed Date: 2009-05-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9002937 Medline TA: Eur Arch Otorhinolaryngol Country: Germany |
Other Details:
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Languages: eng Pagination: 1339-42 Citation Subset: IM |
Affiliation:
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Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Louvain at Mont-Godinne, 5530, Yvoir, Belgium. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Chondrosarcoma / pathology*, surgery* Cricoid Cartilage / pathology* Disease Progression Dyspnea / etiology* Humans Hyoid Bone / transplantation* Laryngeal Neoplasms / pathology*, surgery* Laryngectomy Male Muscle, Skeletal / transplantation* Otolaryngology / methods* Severity of Illness Index Sternum Surgical Flaps |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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