Aortic homograft reconstruction of partial laryngectomy defects: a new technique.
Ann Otol Rhinol Laryngol
; 121(5): 301-6, 2012 May.
Article
em En
| MEDLINE
| ID: mdl-22724275
ABSTRACT
OBJECTIVES:
Wide-field transcervical partial laryngectomy often precludes tracheotomy decannulation. It is done infrequently today, primarily because of the popularity of chemotherapy-radiotherapy treatment regimens and limited enthusiasm for using transcervical partial laryngectomy after failed radiotherapy. We sought to identify a new reconstructive technique that would provide an alternative to total laryngectomy in as many patients as possible.METHODS:
We performed a retrospective examination of 15 patients who underwent single-stage wide-field transcervical partial laryngectomy with cryopreserved aortic homograft reconstruction. Eight of the 15 patients had previously undergone failed radiotherapy. At least 40% of the cricoid circumference was resected in 8 patients.RESULTS:
All 15 patients had their tracheotomy tube removed and have laryngeal phonation, and 14 of the 15 resumed oral intake. There were no major surgical complications.CONCLUSIONS:
Use of aortic homografts is a new, reliable, and versatile reconstructive option for performing conservation laryngeal cancer surgery that allows for airway, swallowing, and voice preservation.
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Base de dados:
MEDLINE
Assunto principal:
Aorta
/
Neoplasias de Tecidos Moles
/
Carcinoma de Células Escamosas
/
Neoplasias Laríngeas
/
Sarcoma Sinovial
/
Procedimentos de Cirurgia Plástica
/
Laringectomia
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article