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September 1984

Rotary-Door Flap in Laryngotracheal Reconstruction

Author Affiliations

From the Department of Otolaryngology, Rambam Medical Center, Haifa (Dr Eliachar) and the Institute of Technology, Haifa (Messrs Marcovich and Har Shai), Israel. Dr Eliachar is presently an international visiting professor and research associate at the Cleveland Clinic Foundation.

Arch Otolaryngol. 1984;110(9):585-590. doi:10.1001/archotol.1984.00800350027008

• A newly described vascularized myocutaneous flap based on the infrahyoid muscles is presented. The blood supply originating at the superior and inferior thyroid arteries is preserved. This flap is rotated axially, 180°, to augment and resurface the lumen of the stenosed airway. Stenting is achieved by means of a silicone T tube topped by a customcarved laryngeal stent. Hyoid transposition may be included when required. We successfully reconstructed 15 cases of laryngotracheal stenosis by this method. The regional flap provides a dependable, readily applicable technique for reconstruction of difficult laryngotracheal stenoses.

(Arch Otolaryngol 1984;110:585-590)