Document Detail


Thyroid cartilage flap reconstruction of the larynx following vertical partial laryngectomy: an interim report.
MedLine Citation:
PMID:  3374235     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A supraglottic thyroid cartilage flap was used to reconstruct vertical partial laryngectomy defects in seven patients, including three radiation failures. Local control was maintained in six of seven patients, with one radiation failure recurring in the subglottis and anterior neck skin. Reconstructively, the radiation failures healed more slowly, but all patients were decannulated in 1 to 4 weeks with normal deglutition. The majority of the ipsilateral arytenoid was preserved in two patients. In the first case, the thyroid cartilage flap was shortened and sutured to the cut surface of the arytenoid. This patient later developed laryngeal stenosis. In the second case, a muscle flap was used to reconstruct the cord, and the thyroid cartilage flap was used externally. This was successful, and we prefer this modification of the Bailey procedure when the arytenoid is preserved.
Authors:
L P Burgess; D W Yim
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  98     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  1988 Jun 
Date Detail:
Created Date:  1988-06-30     Completed Date:  1988-06-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  605-9     Citation Subset:  IM    
Affiliation:
Otolaryngology-Head and Neck Surgery Service, Walter Reed Army Medical Center, Washington, DC 20307-5001.
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MeSH Terms
Descriptor/Qualifier:
Carcinoma, Squamous Cell / radiotherapy,  surgery
Glottis / surgery
Humans
Laryngeal Cartilages / surgery*
Laryngeal Neoplasms / radiotherapy,  surgery
Laryngectomy* / adverse effects
Laryngostenosis / etiology
Larynx / surgery*
Neoplasm Recurrence, Local / therapy
Reoperation
Surgical Flaps* / adverse effects
Thyroid Cartilage / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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