Ahmad Faisal I, O'Dell Karla, Peck Jessica J, Wax Mark K, Milczuk Henry A
Department of Otolaryngology-Head & Neck Surgery, Oregon Health & Science University, Portland, Oregon, U.S.A.
Department of Otolaryngology-Head & Neck Surgery, University of Southern California, Los Angeles, Los Angeles, California, U.S.A.
Laryngoscope. 2015 Aug;125(8):1979-82. doi: 10.1002/lary.25128. Epub 2015 Jan 30.
Prefabricated composite free flaps for complex airway reconstruction have been described for an adult series at our institution. We extended this approach to a pediatric patient with lifelong subglottic stenosis who had failed previous open airway reconstructions. A staged procedure was utilized in which a composite graft was created using conchal cartilages and a radial forearm free flap. This reconstruction improved the patency of her airway and decreased her dependency on intermittent airway dilations. Airway reconstruction with prefabricated conchal cartilage composite free flaps may be used as a salvage procedure for complex pediatric airway reconstruction when other methods have failed.
在我们机构，已经报道了预制复合游离皮瓣用于成人复杂气道重建的系列病例。我们将这种方法扩展应用于一名患有终身性声门下狭窄且既往开放性气道重建失败的儿科患者。采用了分期手术，其中使用耳甲软骨和桡侧前臂游离皮瓣制作复合移植物。这种重建改善了她气道的通畅性，并减少了她对间歇性气道扩张的依赖。当其他方法失败时，预制耳甲软骨复合游离皮瓣气道重建可作为复杂儿科气道重建的挽救手术。
