November 1959

The Use of Free Skin Grafts for Post-Traumatic Cicatricial Stenosis of the Laryngopharynx

Author Affiliations

Houston, Texas
From the Department of Otolaryngology, Baylor University College of Medicine and Affiliated Hospitals.

AMA Arch Otolaryngol. 1959;70(5):630-634. doi:10.1001/archotol.1959.00730040642016

The use of free skin grafts for reconstruction of the pharynx after laryngopharyngectomy for neoplastic disease is well documented.1,2,5,8-16 However, the opportunity to use these grafts for benign post-traumatic and postinfectious cicatricial stenosis of the pharynx finds infrequent application. A review of the literature reveals very few recorded instances of this use.3,4,6,13

The mechanism producing post-traumatic stenosis must be extraordinary. Many of these patients probably die as a result of the initial injury and never reach the stage of stricture formation. We recently have had experience in managing one such case who lived to develop a stricture and merits recording.

Report of Case  The 8-year-old son of circus performers sustained an injury to his neck and pharynx when he was pulled by a rope about his neck for a distance of 300 ft. by a runaway horse. The injury included fracture of three cervical vertebrae without neurological sequelae

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