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September 1987

Reconstruction of the Larynx and Trachea

Author Affiliations

Galveston, Tex

Arch Otolaryngol Head Neck Surg. 1987;113(9):919-921. doi:10.1001/archotol.1987.01860090017009

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At the spring meeting of the American Academy of Facial Plastic and Reconstructive Surgery in Denver, David E. Schuller, MD, of Ohio State University, Columbus, presented the results of a nine-year experience with management of laryngeal and tracheal stenosis. Schuller and Robert T. Parrish, MD, of Ohio State University state the basic problem for this type of reconstruction is maintaining patency in a hollow organ when normal healing processes tend to constrict the passage. Among 43 patients who underwent 64 procedures, prolonged intubation was the most common cause of the stenosis. Patients who had undergone conservation laryngeal procedures were excluded from the study. While six patients underwent endoscopic laser treatments, the majority (80%) had open surgical procedures. When a compound graft was used for reconstruction, perichondrium or periosteum was always left attached to the graft. Whenever possible, however, Schuller preferred a regional flap. He also described a sternocleidomastoid-clavicular flap that

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