Surgical Planning Laboratory - Brigham & Women's Hospital - Boston, Massachusetts USA - a teaching affiliate of Harvard Medical School

Surgical Planning Laboratory

The Publication Database hosted by SPL

All Publications | Upload | Advanced Search | Gallery View | Download Statistics | Help | Import | Log in

Multiple Costal Cartilage Graft Reconstruction for the Treatment of a Full-length Laryngotracheal Stenosis after an Inhalation Burn

Institution:
1Department of Surgery, University of Szeged, Szeged, Hungary.
2Department of Oto-Rhino-Laryngology, Head and Neck Surgery, University of Szeged, Szeged, Hungary.
Publisher:
HighWire Press
Publication Date:
Oct-2011
Journal:
Interact Cardiovasc Thorac Surg
Volume Number:
13
Issue Number:
4
Pages:
453-5
Citation:
Interact Cardiovasc Thorac Surg. 2011 Oct;13(4):453-5.
Links:
http://icvts.ctsnetjournals.org/cgi/reprint/13/4/453
PubMed ID:
21798888
Keywords:
Burn injury, Costal cartilage graft, Laryngotracheal stenosis
Appears in Collections:
SLICER
Generated Citation:
Furák J., Szakács L., Nagy A., Rovó L. Multiple Costal Cartilage Graft Reconstruction for the Treatment of a Full-length Laryngotracheal Stenosis after an Inhalation Burn. Interact Cardiovasc Thorac Surg. 2011 Oct;13(4):453-5. PMID: 21798888.
Downloaded: 1206 times. [view map]
Paper: Download, View online
Export citation:
Google Scholar: link

After suffering an inhalation burn, a 22-year-old male was intubated for seven days. Full-length massive scar formation in the upper airway necessitated tracheostomy five months later. After this, the stenosis became complete in the cricoid region, and a long cannula was needed to maintain the severely damaged middle-distal trachea. After unsuccessful laser dilatation, the more stenotic 3 cm distal tracheal segment was resected, but two months later the stenosis recurred. As resection was ineffective, tracheoplasty was performed via a right-sided thoracotomy; the re-stenotized trachea was incised in length and successfully extended with 5 cm long, oval-shaped rib cartilage. Three months later, the complete cricotracheal stenosis was fixed by combined laryngofissure and cricoid laminotomy with two 6 cm×2.5 cm cartilage pieces sutured into the incisions. The middle portion of the trachea was expanded with a similar graft inserted into the anterior wall below the tracheostomy. The fixing T-tube was removed three months later, and the patient had an adequate airway two years after the last procedure. We conclude that multiple cartilage graft reconstruction can be successful even after the development of an extremely long airway stenosis following inhalation burn injury.

Additional Material
1 File (168.077kB)
Furak-ICTS2011-fig1.jpg (168.077kB)