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
Esclamado RM, Carroll WR. Repair of a Complete Glottic-Subglottic Stenosis With a Fibular Osseocutaneous Free Flap. Arch Otolaryngol Head Neck Surg. 1997;123(8):877-879. doi:10.1001/archotol.1997.01900080111014