Tracheal reconstruction with a modified infrahyoid myocutaneous flap

Muneyuki Masuda, Kenichi Kamizono, Masayoshi Ejima, Akiko Fujimura, Hideoki Uryu, Hideki Kadota

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Reconstruction of a tracheal defect is a challenge because it often requires invasive surgery associated with relatively high morbidity. We recently invented a less-invasive method using a modified infrahyoid myocutaneous (IHMC) flap for the reconstruction of a tracheal defect in an 83-year-old male. A tracheal defect, the right half of the cricoid cartilage plus the right three quarters of the I-IV tracheal cartilage (about 3 × 4 cm), was reconstructed with a modified IHMC flap composed of the sternohyoid and platysma muscles and a skin pedicle. Considering the age of patient, we avoided rigid reconstruction and used a soft silicone tracheal opening retainer (Koken Co., Ltd., Tokyo, Japan) as an anterior wall dilator after surgery and waited for the scarring of the flap until it become rigid enough. The postoperative course was uneventful and the trachea was reconstructed safely. Tracheal reconstruction with an IHMC flap is a useful and less-invasive alternative compared to end-to-end anastomosis or reconstruction with a forearm flap, which is currently used as a mainstay.

Original languageEnglish
Pages (from-to)992-996
Number of pages5
JournalLaryngoscope
Volume122
Issue number5
DOIs
Publication statusPublished - May 1 2012

Fingerprint

Myocutaneous Flap
Cricoid Cartilage
Tokyo
Silicones
Trachea
Forearm
Cartilage
Cicatrix
Japan
Morbidity
Skin

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

Cite this

Masuda, M., Kamizono, K., Ejima, M., Fujimura, A., Uryu, H., & Kadota, H. (2012). Tracheal reconstruction with a modified infrahyoid myocutaneous flap. Laryngoscope, 122(5), 992-996. https://doi.org/10.1002/lary.23194

Tracheal reconstruction with a modified infrahyoid myocutaneous flap. / Masuda, Muneyuki; Kamizono, Kenichi; Ejima, Masayoshi; Fujimura, Akiko; Uryu, Hideoki; Kadota, Hideki.

In: Laryngoscope, Vol. 122, No. 5, 01.05.2012, p. 992-996.

Research output: Contribution to journalArticle

Masuda, M, Kamizono, K, Ejima, M, Fujimura, A, Uryu, H & Kadota, H 2012, 'Tracheal reconstruction with a modified infrahyoid myocutaneous flap', Laryngoscope, vol. 122, no. 5, pp. 992-996. https://doi.org/10.1002/lary.23194
Masuda, Muneyuki ; Kamizono, Kenichi ; Ejima, Masayoshi ; Fujimura, Akiko ; Uryu, Hideoki ; Kadota, Hideki. / Tracheal reconstruction with a modified infrahyoid myocutaneous flap. In: Laryngoscope. 2012 ; Vol. 122, No. 5. pp. 992-996.
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