PLASTY FOR EXTENSIVE COMBINED DEFECTS OF THE LARYNX AND TRACHEA
Keywords:
Larynx, trachea, scar stenosis, definitive defect, stage reconstruction, cartilage-transplantation.Abstract
Etiologic features of chronic stenoses of the larynx and trachea are presented. The possibilities of using the cartilage of the nasal septum for extensive defects of the larynx and upper trachea are considered. The attention is paid to the essential advantages of septal cartilage use in comparison with other methods of plasty. Physiologically it is more optimal than other transplants because of greater stability at infection of the surgical wound, absence of immunogenicity and sharp phenomena of biological incompatibility. Cartilage is nourished by diffusion, which makes it more resistant to unfavorable conditions compared to any other tissue. The technique and advantages of the proposed modification of laryngotracheoplasty using nasal septal cartilage for extensive defects are described.
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