Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
원저

후두협착증의 치료에서 이개연골과 늑연골 이식편의 비교

정천규1, 최준영1, 박성국1, 엄재욱1
Cheon Kyu Jeong1, Jun Young Choi1, Seong Kook Park1, Jae Wook Eom1
1인제대학교 의과대학 부산백병원 이비인후 - 두경부외과학교실
1Department of Otolaryngology, College of Medicine, Inje University, Pusan Paik Hospital, Pusan,Korea

© Copyright 1998 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Background: The goal of management of laryngotracheal stenosis is reconstruction of cartilagenous framework with mucosal lining after removal of stenotic area and maintenance of effective airway. One of the successful procedures used to correct this condition is an autogenous cartilage graft to the stenotic area. The fate of the cartilage graft is not known, despite the good results of the procedure. Objectives: Among laryngotracheoplasty with various cartilages, we had used conchal or costal cartilage as graft material. We compared the results between conchal or costal cartilage as graft material in the management of laryngeal stenosis. Materials and methods: Twelve patients had a laryngeal stenosis. All patients were performed with laryngotracheoplasty using conchal or costal cartilage. Results: The following results were obtained. 1) After laryngotracheoplasties, the cases in need of granulation removal were 2 cases in conchal cartilage and 6 cases in costal cartilge. 2) Graft removal was done in a case of conchal cartilage graft because of infection and necrosis. 3) Successful decannulations were done in 10 cases, 5 in conchal cartilage, 5 in costal cartilage. Conclusion: Conchal cartilage was superior to costal cartilage as graft material in management of laryngeal stenosis.

Keywords: Laryngeal stenosis; grafi; costal cartilage; conchal cartilage