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Panel dicussion: The management of advanced laryngotracheal stenosis. Use of the hyoid graft for treatment of laryngotracheal stenosis
Author(s) -
Thawley Stanley E.,
Ogura Joseph H.
Publication year - 1981
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198102000-00009
Subject(s) - hyoid bone , medicine , subglottis , stenosis , larynx , laryngotracheal stenosis , swallowing , surgery , anatomy , tracheal stenosis , radiology , glottis
The most common cause of laryngotracheal stenosis is trauma. The stenotic area may involve the larynx, subglottis, or trachea. A hyoid bone graft has been used in 22 cases for reconstruction of the stenotic area. The hyoid graft may be used with other concomitant laryngeal procedures. A vascularized sternohyoid — hyoid graft has been used in some cases. Of the 22 cases all but 3 have been successful. The advantages of the hyoid graft are:1 Firm graft to maintain the architecture of the lumen. 2 Accessibility in the same operating field. 3 Patient's own graft material decreases immune rejection possibility. 4 The vascularized pedicle graft decreases possibility of hyoid resorption.