caa a22 4500 47584887X CHVBK 20180406123922.0 cr unu---uuuuu 170329e20000401xx s 000 0 eng 10.1007/s004050050224 doi (NATIONALLICENCE)springer-10.1007/s004050050224 A new method for reconstruction of the larynx after vertical partial resections [Elektronische Daten] [J. Élő, E. Horváth, R. Késmárszky] The indications and problems of organ-preserving vertical partial laryngectomy (VPL) in cases of T1b glottic or T2 glottic and subglottic cancers are well known. The first and imperative requirement for the surgeon is adequate resection of tumor while the second prerequisite is the safe and successful correction of the excised portion of the anterolateral wall of the larynx. Since reconstruction of the defect can cause significant challenges for surgeons, the main requirements are an adequate lumen for breathing, a smooth surface for epithelialization, voice restoration and good deglution. Krajina's method for reconstruction of the larynx utilizes pedicled sternohyoid fascia, which is thin, elastic, well adaptable to defects, and resistent to infection or saliva. By providing a large surface for covering defects, granulations and synechiae can be prevented. We now use the superficial fascia colli as a new method for reconstruction of laryngeal defects after frontolateral partial resections. The technique was first refined experimentally in dogs. A Leroux-Robert partial laryngectomy was carried aut on five animals and laterally pedicled fascia was sutured to the edge of the defect created. At 2-week intervals through 8 weeks after the operation fixation, vascularization and epithelialization were examined histologically. To date, clinical reconstruction with the fascial flap has been used in 29 cases. Because the flap has a very low metabolism, no necrosis was seen. Functional results of respiration, phonation and swallowing have been good. These findings show that laterally pedicled fascia with the bipedicled sternohyoid muscles can play an important role in laryngeal reconstruction. Springer-Verlag Berlin Heidelberg, 2000 Key words Laryngeal cancer nationallicence Frontolateral partial nationallicence laryngectomies nationallicence Myofascial reconstruction nationallicence Élő J. Uzsoki University Teaching Hospital, Department of ENT and Head-Neck Surgery, Uzsoki u.29, 1145 Budapest, Hungary Tel.: ++36 251-7333, HU aut Horváth E. Uzsoki University Teaching Hospital, Department of ENT and Head-Neck Surgery, Uzsoki u.29, 1145 Budapest, Hungary Tel.: ++36 251-7333, HU aut Késmárszky R. Heim Pál Hospital for Sick Children, Department of ENT, Üllői ut 86, 1089. Budapest, Hungary, HU aut https://doi.org/10.1007/s004050050224 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004050050224 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Élő J. Uzsoki University Teaching Hospital, Department of ENT and Head-Neck Surgery, Uzsoki u.29, 1145 Budapest, Hungary Tel.: ++36 251-7333, HU aut NATIONALLICENCE 700 1- Horváth E. Uzsoki University Teaching Hospital, Department of ENT and Head-Neck Surgery, Uzsoki u.29, 1145 Budapest, Hungary Tel.: ++36 251-7333, HU aut NATIONALLICENCE 700 1- Késmárszky R. Heim Pál Hospital for Sick Children, Department of ENT, Üllői ut 86, 1089. Budapest, Hungary, HU aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer