Reconstruction of the trachea using cartilage scaffold.

概要

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The upper airway stenosis was corrected using a cartilage scaffold in two cases.<BR>The first case was a 20-year-old man who sustained tracheal injury involving the cricoid cartilage resulting in tracheal stenosis. In surgical correction, after exposure of the tracheal space, the remaining parts of the cartilage had to be removed because of an extensive necrosis. The wound healed but only after leaving a widely exposed tracheal space. A cartilage scaffold was constructed from the rib cartilage to create a new tracheal space, which was later covered with a D-P flap.<BR>The scond case was a 34-year-old woman with pharyngeal stenosis due to Behcet disease. The patient developed tracheal stenosis at the tracheal stoma due to proliferation of granulation. After successful surgery of the oropharyngeal stenosis the trachal stenosis was corrected using a cartilage scaffold in a similar manner as in the first case.
耳鼻咽喉科展望会の論文