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Reconstruction with composite nasal septal cartilage and auricular cartilage in extended partial laryngectomy

Published online by Cambridge University Press:  29 June 2007

Nihat Şekercioğlu
Affiliation:
Department of Otorhinolaryngology, Cerrahpaşa Medical Faculty, Istanbul University, Istanbul, Turkey
Harun Cansiz*
Affiliation:
Department of Otorhinolaryngology, Cerrahpaşa Medical Faculty, Istanbul University, Istanbul, Turkey
Muammer Güneş
Affiliation:
Department of Otorhinolaryngology, Cerrahpaşa Medical Faculty, Istanbul University, Istanbul, Turkey
*
Address for correspondence: Harun Cansiz, M.D., İskenderpaşa Mah. Havlucu Sok., No: 26 Kat: 4/5, Fatih-İstanbul, Turkey.

Abstract

Several reconstruction techniques have been employed following partial laryngectomy in order to improve laryngeal function. We report 12 cases in which composite nasal septal cartilage and auricular cartilage were used. We decannulated the patients in an average of 19 days. Following the reconstruction we obtained a satisfactory phonatory function and swallowing. Six patients completed a follow-up period of three years without presenting any recurrences or mortality. Our experience with reconstruction using composite nasal septal and auricular cartilage following partial laryngectomy proved effective.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1996

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References

Bailey, B. J. (1985) Glottic carcinoma. In Surgery of the Larynx. 9th Edition. (Bailey, B. J., Biller, H. F. eds), W. B. Saunders Co., Philadelphia. pp 257278.Google Scholar
Biller, H. F., Lawson, W. (1986) Partial laryngectomy for vocal cord cancer with marked limitation or fixation of the vocal cord. Laryngoscope 96: 6164.Google Scholar
Burgess, L. P. A. (1993) Laryngeal reconstruction following vertical partial laryngectomy. Laryngscope 103: 109132.CrossRefGoogle Scholar
Butcher, R. B., Dunham, M. (1984) Composite nasal septal cartilage graft for reconstruction after extended frontolateral hemilaryngectomy. Laryngoscope 94: 959962.Google Scholar
Clairmont, A. A., Conley, J. J. (1978) The uses and a limitation of auricular composite grafts. Journal of Otolaryngology 7: 249256.Google Scholar
Caputo, V., Consiglio, V. (1961) The use of patient's own auricular cartilage to repair deficiency of the tracheal wall. Journal of Thoracic Surgery 41: 594599.Google Scholar
Duncavage, J. A., Ossoff, R. H., Toohill, R. J. (1989) Laryngotracheal reconstruction with composite nasal septal cartilage grafts. Annals of Otology, Rhinology and Laryngology 98: 581585.Google Scholar
Figi, F. A. (1950) Removal of carcinoma of the larynx with immediate skin graft for repair. Annals of Otology, Rhinology and Laryngology 59: 474486.Google Scholar
Laurian, N., Zohar, Y. (1981) Laryngeal reconstruction by composite nasal mucoseptal graft after partial laryngectomy. Three years follow-up. Laryngoscope 91: 609615.Google Scholar
Lawrence, P. A., Burgess, M. C. (1993) Laryngeal reconstruction following vertical partial laryngectorny. Laryngoscope 103: 109132.Google Scholar
Ogura, J. H., Dedo, H. H. (1965) Glottic reconstruction following subtotal glotticsupraglottic laryngectomy. Laryngoscope 75: 865878.Google Scholar
Pressman, J. J. (1954) Cancer of the larynx. Laryngoplasty to avoid laryngectomy. Archives of Otolaryngology 59: 395412.Google Scholar
Som, M. L. (1951) Hemilaryngectomy—A modified technique for cordal carcinoma with extension posteriorly. Archives of Otolaryngology 54: 524533.Google Scholar
Toohill, R. S., Martinelli, D. L., Janowak, M. C. (1976) Repair of laryngeal stenosis with nasal septal grafts. Annals of Otology, Rhinology and Laryngology 85: 600609.Google Scholar
Ward, P. H., Berci, G., Calcaterra, T. C. (1977) New insight into the causes of postoperative aspiration following conservation surgery of the larynx. Annals of Otology, Rhinology and Laryngology 86: 24736.Google Scholar