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Reconstruction of the Larynx and Trachea
David E. Schuller, MD;
Robert T. Parrish, MD
Arch Otolaryngol Head Neck Surg. 1988;114(3):278-286.
Abstract
• This article involves an analysis of 43 patients who underwent 64 reconstructive procedures for laryngeal and/or tracheal defects at The Ohio State University (Columbus). The purpose of this report is to analyze the results of a variety of reconstructive techniques in order to formulate a recommended therapeutic approach. Utilizing this therapeutic approach, 77% of the reconstructions were totally successful in providing an airway not requiring a tracheotomy tube and a voice capable of communication. Another 16% of the reconstructions were considered partially successful, requiring a permanent airway tube due to limitations created by coexisting health problems. There have been no patients where airway reconstruction was totally unsuccessful. A generalized approach to reconstruction is presented.
(Arch Otolaryngol Head Neck Surg 1988;114:278-286)
Author Affiliations
From the Department of Otolaryngology, The Ohio State University, Columbus.
Footnotes
Accepted for publication Dec 4, 1987.
Read before the American Academy of Facial Plastic and Reconstructive Surgery, Denver, May 1, 1987.
Reprint requests to the Department of Otolaryngology, The Ohio State University, 456 W Tenth Ave, Columbus, OH 43210 (Dr Schuller).
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