Reconstruction of late laryngo-tracheal stenosis in a one stage operation by cervical flap and cartilage transplantation

Summary

An operation has been devised to produce a one stage correction of cases with stenosis of the larynx and trachea. The scar tissue of the stenotic area is resected. To reconstruct the inner lining of the lumen, a cervical pedicle flap is inserted. To insure a stable structural framework, costal cartilage is usually used. A stent is inserted into the lumen by using a rubber glove finger packed with silicon sponge to maintain an adequate air passage for about four weeks. The external covering is achieved by direct closure. The tracheostome should remain open for four to six months. In ten cases, all obtained satisfactory results by this method.