Lusk R P, Kang D R, Muntz H R
Department of Otolaryngology, Washington University School of Medicine, St Louis, Missouri 63110.
Ann Otol Rhinol Laryngol. 1993 Apr;102(4 Pt 1):247-54. doi: 10.1177/000348949310200402.
Introduction of the anterior cricoid split (decompression) and laryngotracheal reconstruction with costal cartilage graft has resulted in the successful management of many cases of subglottic stenosis. However, the procedure does not allow uniform extubation, and laryngotracheal reconstruction with costal cartilage may be too aggressive for neonates. We have explored the use of autogenous auricular cartilage graft in laryngotracheal reconstruction. Its high rate of success and low morbidity have enabled us to expand the indications. We report our experience in 23 patients with auricular cartilage grafts.
环状软骨前裂开(减压)及肋软骨移植喉气管重建术的引入,已成功治疗了许多例声门下狭窄病例。然而,该手术并不能保证统一拔管,且肋软骨喉气管重建术对新生儿可能过于激进。我们探索了自体耳廓软骨移植在喉气管重建中的应用。其高成功率和低发病率使我们能够扩大适应症。我们报告了23例使用耳廓软骨移植患者的经验。