Department of Head and Neck and Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Head Neck. 2013 Jun;35(6):E178-80. doi: 10.1002/hed.22931. Epub 2012 Jan 31.
Reconstruction after partial cricotracheal resection is technically demanding and is seldom reported in literature. The purpose of this study was to report a technique of reconstruction of such a defect with a radial forearm flap supported by a titanium mesh.
A 75-year-old man who was diagnosed with a case of papillary carcinoma thyroid, underwent excision of the tumor with a partial cricotracheal resection. The defect was reconstructed with a free radial forearm flap with fascia suspended on a titanium mesh.
At a follow-up of 6 months after treatment, the patient has normal nasal breathing and an acceptable voice.
This reconstructive technique enabled us to maintain the integrity of the subglottic airway. Our technique was unique in that we used the skin-lined part of the radial forearm flap to line the airway and the fascia to cover the titanium mesh outside, thereby preventing plate exposure.
部分环状软骨切除术的重建技术要求很高，在文献中很少有报道。本研究的目的是报告一种使用钛网支撑的游离前臂皮瓣重建这种缺陷的技术。
一名 75 岁男性被诊断为甲状腺乳头癌，行肿瘤切除术伴部分环状软骨切除术。该缺损采用游离前臂皮瓣加筋膜，悬吊于钛网修复。
治疗后 6 个月随访，患者鼻腔通气正常，语音可接受。
这种重建技术使我们能够保持声门下气道的完整性。我们的技术很独特，我们使用游离前臂皮瓣的带皮肤部分衬里气道，筋膜覆盖钛网外面，从而防止钢板外露。
