Principles of laryngotracheal reconstruction
by Philippe Monnier T, Philippe Vicky S, Philippe Bachi T

Jaypee’s Video Atlas of Operative Otorhinolaryngology AND Head & Neck Surgery

by Vicky S Khattar, Bachi T Hathiram
About Video

This cadaveric video demonstration outlines the principles of laryngotracheal reconstruction. After performing a laryngofissure, the posterior cricoid lamina is divided, following which suitably sized anterior and posterior cartilage grafts may be interposed so as to widen the laryngeal framework at the level of the subglottis. This demonstration is of a fresh cadaveric specimen. Certain aspects have been highlighted such as making the laryngofissure in the exact midline anteriorly, incising the posterior glottic mucosa, the cricoid lamina and the interarytenoid muscle to allow for adequate expansion of the posterior glottis and subglottis. Following this, anterior and posterior costal cartilage grafts can be placed and sutured to the incized edges to expand the laryngeal framework.

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