Larengotrakeal Rekonstrüksiyonda Kompozit Nazal Septal Kartilaj Kullanımı

Larengotrakeal rekonstrüksiyon (LTR) baş-boyun cerrahlarının gerçekleştirdiği en zorlu prosedürlerden biri olmaya devam etmektedir. Larengotrakeal stenoz (LTS) vakalarında açık ya da kapalı birçok teknik uygulanmaktayken, larengeal tümörlerde tümörün mikrocerrahiyle çıkarılmasından subtotal larenjektomiye kadar birçok konservatif seçenek mevcuttur. Ancak bu tip hastaların tedavisinde tek bir yöntem yoktur ve cerrahın uygun hastada uygun metodu uygulaması gerekmektedir. Bu yazıda; cerrahi, travma, tümör ya da larengotrakeal stenoz gibi lezyonlarda /defektlerde kompozit nazal septal kıkırdak kullanımı ile ilgili teknik bilgi, endikasyonlar ve deneyimimiz sunulacaktır.

Nasal Septal Cartilage Composite Graft Use in Laryngotracheal Reconstruction

Laryngotracheal reconstruction still remains as one of the most challenging procedures in otolaryngology practice. A variety of reconstruction materials and methods are used to repair laryngotracheal defects. No single surgical procedure exists that is appropriate for all situations, and the surgeon has to make a choice among these methods. This article describes the technical data on, the indications of, and our experience with the use of composite nasal septal cartilage graft for the reconstruction of laryngotracheal defects.

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Grillo HC. Surgical anatomy of the trachea and techni- ques of resection. In: Shields TW, LoCicero III J, Ponn RB (ed.), General Thoracic Surgery, 5th edition. Phila- delphia: Lippincott Williams & Williams; 2000. s. 873- 83.
Goodyear HM. Hemilaryngectomy: method of mainta- ining a satisfactory airway and voice. Ann Otol Rhinol Laryngol. 1949;58(2):581-85.
Drettner N, Lindholm CE. Experimental tracheal re- construction with composite graft from nasal septum. Acta Otolaryngol. 1970;70(5):401-7.
Furstoss JA, Toohill RJ. Composite nasal septal au- tografts of the trachea. Ann Otol Rhinol Laryngol. 1973;82(6):831-37.
Toohill RJ, Martinelli DL, Janawac MC. Repair of lary- ngeal stenosis with nasal septal grafts. Ann Otol Rhinol Laryngol. 1976;85(5):600-8.
Duncavage JA, Toohill RJ, Isert DR. Composite nasal septal graft reconstruction of the partial laryngectomi- zed canine. Trans Am Acad Ophthalmol Otolaryngol. 1978;86(2):285-90.
Toohill RJ, Duncavage JA. Free composite nasal and au- ricular grafts for laryngotracheal reconstruction. Oper Tech Otolaryngol Head Neck Surg. 1992;3(3):182-88.
Bootz F, Reuter G. Cellular differentiation after free grafting of respiratory epithelia. Eur Arch Otorhinolary- ngol. 1991;248(8):502-7.
Baiguera S, Jungebluth P, Burns A, Mavilia C, Haag J, Coppi PD, Macchiarini P. Tissue engineered hu- man tracheas for in vivo implantation. Biomateri- als. 2010;31(34):8931-38.
Batioglu-Karaaltin A, Karaaltin MV, Ovali E, Yigit O, Kongur M, Inan O, Bozkurt E, Cansiz H. In vivo tissue- engineered allogenic trachea transplantation in rabbits: a preliminary report. Stem Cell Rev. 2015;11(2):347-56.
Wilflingseder P. Rekonstruktion der Trachea durch ein Segment-transplantat vom Nasen Septum. Wein Klin Wochenschr. 1972;84:226-29.
Kleinsassar D. Narbenstenosen des Kehlkopfes und der trachea. HNO, 1971;19:294-302.
Krizek TJ, Kirchner JA. Tracheal reconstruction with an autogenous mucochondrial graft. Plast Reconstr Surg. 1972;50(2):123-30.
Strome M, Ferguson CF. Multiple postintubation comp- lications. Ann Otol Rhinol Laryngol. 1974;83(4):432-38.
Toohill RJ. Panel discussion: the management of advan- ced laryngotracheal stenosis. Composite nasal septal graft in the management of advanced laryngotracheal stenosis. Laryngoscope. 1981;91(2):233-37.
Laurian N, Zohar Y. Laryngeal reconstruction by com- posite nasal mucoseptal graft after partial laryngectomy. Three years follow-up. Laryngoscope. 1981;91(4):609-16.
Şekercioğlu N, Gökçel A, İrez T. Geniş parsiyel larenjek- tomi. Türk Otolarengoloji Derneği XVII. Milli Kongresi Tutanaklar Kitabı. Adana: Türk Otolarengoloji Derneği; 1983.
Butcher RB, Dunham M. Composite nasal septal carti- lage graft for reconstruction after extended frontolateral hemilaryngectomy. Laryngoscope. 1984;94(7):959-62.
Zohar Y, Shvilli I, Laurian N. Laryngeal reconstructi- on by composite nasoseptal graft after extended parti- al laryngectomy. Arch Otolaryngol Head Neck Surg. 1988;114(8):868-71.
Szmeja Z, Szyfter W, Kruk-Zagajewska A, Wojtowicz J. 20-year-long experience in the large-scale fronto-lateral laryngectomy with a simultaneous reconstruction by muco-cartilagenous nasal septum flap: results of 460 ca- ses [makale Lehçe]. Otolaryngol Pol. 1999;53(5):529-32.
Cansiz H, Yener M, Dereköylü L. Tracheal reconstruc- tion with free composite cartilage graft: a case report. Kulak Burun Bogaz Ihtis Derg. 2002;9(4):291-95.
Bozkurt AK, Cansiz H. Tracheal reconstruction with au- togenous composite nasal septal graft. Ann Thorac Surg. 2002;74(6):2200-1.
Myer CM, Hartley BE. Pediatric laryngotracheal sur- gery. Laryngoscope. 2000;110(11):1875-83.
Şekercioğlu N, Cansız H, Güneş M. Reconstruction with composite nasal septal cartilage and auricular cartilage in extended partial laryngectomy. J Laryngol Otol. 1996;110(8):739-41.
Leonard JR, Holt GP, Maran AG. Treatment of vocal cord carcinoma by vertical hemilaryngectomy. Ann Otol Rhinol Laryngol. 1972;81(4):469-78.
Thawley SE. Head and neck and plastic surgery. Epiglot- tic reconstruction of the vocal cord following hemilary- ngectomy. Laryngoscope. 1983;93(2):237-39.
Laccourreye O, Laccourreye L, Garcia D, Gutierrez- Fonseca R, Brasnu D, Weinstein G. Vertical partial lary- ngectomy versus supracricoid partial laryngectomy for selected carcinomas of the true vocal cord classified as T2N0. Ann Otol Rhinol Laryngol. 2000;109(10):965-71.
Kessler DJ, Trapp TK, Calcaterra TC. The treatment of T3 glottic carcinoma with vertical partial laryngectomy. Arch Otolaryngol Head Neck Surg. 1987;113(11):1196- 99.
Biller HF, Som ML. Partial laryngectomy for glottic car- cinoma with posterior subglottic extension. Ann Otol Rhinol Laryngol. 1977;86(6):715-18.
Eliachar I, Papay F, Tucker HM. Laryngotracheal re- construction. Extended vertical partial laryngectomy: reconstruction combining epiglottoplasty and the rotary door flap. Otolaryngol Clin North Am. 1991;24(6):1367- 83.
Eliachar I, Roberts JK, Welker KB, Tucker HM. Advan- tages of the rotary door flap in laryngotracheal recons- truction: is skeletal support necessary? Ann Otol Rhinol Laryngol. 1989;98(1):37-40.
Azar T, Abdul-Karim FW, Tucker HM. Adeno- id cystic carcinoma of the trachea. Laryngoscope. 1998;108(9):1297-300.
Grillo HC, Dignan EF, Miura T. Extensive resection and reconstruction of mediastinal trachea without prosthesis or graft: an anatomical study in man. J Thorac Cardio- vasc Surg. 1964;48:741-49.
Montgomery WW. Reconstruction of the cervical trac- hea. Ann Otol Rhinol Laryngol. 1964;73:1-15.
Okike N, Payne WS, Cortese DA, Dines DE. Pericardial reconstruction of the membranous trachea after resec- tion of adenoid cystic carcinoma (cylindroma). Mayo Clin Proc. 1978;53(12):808-10.