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August 1997

Repair of a Complete Glottic-Subglottic Stenosis With a Fibular Osseocutaneous Free Flap

Author Affiliations

From the Department of Otolaryngology and Communicative Disorders, The Cleveland Clinic Foundation, Cleveland, Ohio (Dr Esclamado); and the Division of Otolaryngology Head and Neck Surgery, University of Alabama, Birmingham (Dr Carroll).

Arch Otolaryngol Head Neck Surg. 1997;123(8):877-879. doi:10.1001/archotol.1997.01900080111014

Reconstruction of extensive laryngotracheal stenosis remains a formidable challenge. The ideal reconstructive technique has not been found because of the variability in the complexity and degree of laryngotracheal stenosis and the challenge of wound healing in a contaminated tubular structure. The application of microvascular free-tissue transfer in laryngotracheal reconstruction is limited. We used a fibula osseocutaneous revascularized flap for reconstruction of a complex laryngotracheal stenosis. The clinical course, long-term follow-up, and potential advantages and disadvantages are discussed.

Arch Otolaryngol Head Neck Surg. 1997;123:877-879