Cricotracheal reconstruction with free radial forearm flap and titanium mesh. Issue 6 (31st January 2012)

• Record Type: Journal Article
• Authors: Balasubramanian, Deepak; Thankappan, Krishnakumar; Shetty, Sharankumar; Jayaprasad, Kiran; Mathew, Jimmy; Iyer, Subramania
• Is Part Of: Head & neck. Volume 35:Issue 6(2013:Jun.)
• Page Start: E178
• Page End: E180
• Publication Date: 2012-01-31
• Subjects: Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.22931
• Languages: English
• ISSNs: 1043-3074

Abstract

<abstract abstract-type="main" xml:lang="en"> <title>Abstract</title> <sec id="abs1-1" sec-type="section"> <title>Background</title> <p>Reconstruction after partial cricotracheal resection is technically demanding and is seldom reported in literature. The purpose of this study was to report a technique of reconstruction of such a defect with a radial forearm flap supported by a titanium mesh.</p> </sec> <sec id="abs1-2" sec-type="section"> <title>Methods</title> <p>A 75‐year‐old man who was diagnosed with a case of papillary carcinoma thyroid, underwent excision of the tumor with a partial cricotracheal resection. The defect was reconstructed with a free radial forearm flap with fascia suspended on a titanium mesh.</p> </sec> <sec id="abs1-3" sec-type="section"> <title>Results</title> <p>At a follow‐up of 6 months after treatment, the patient has normal nasal breathing and an acceptable voice.</p> </sec> <sec id="abs1-4" sec-type="section"> <title>Conclusion</title> <p>This reconstructive technique enabled us to maintain the integrity of the subglottic airway. Our technique was unique in that we used the skin‐lined part of the radial forearm flap to line the airway and the fascia to cover the titanium mesh outside, thereby preventing plate exposure. © 2012 Wiley Periodicals, Inc. Head Neck, 2012</p> </sec> </abstract>