BibTex RIS Kaynak Göster

Experimental autogenous cartilaginous grafts for laryngotracheoplasty: a comparison of two techniques and two different types of grafts

Yıl 2006, Cilt: 16 Sayı: 6, 246 - 250, 02.12.2006

Öz

Objectives: This experimental work was performed to compare the results of laryngotracheoplasty with the use of autogenous cartilaginous grafts harvested either from the auricula or costal cartilage using two techniques, anterior or posterior graft placement.Study Design: This study was carried out in 20 healthy dogs of both sexes and varying ages, weigh- ing about 12-15 kg. The animals were divided into two groups A and B , equal in number. We used costal cartilage grafts in group A, and auricular cartilage grafts in group B. The anterior and posterior laryngeal walls were vertically divided and the cartilage grafts were sutured in place.Results: Microscopic examination of laryngeal specimens showed a higher rate of graft displace- ment in group B 40% vs 20% and in those placed posteriorly 50% vs 10% p<0.05 . Auricular cartilages showed more resorption and degeneration than costal cartilages. Severe to complete resorption was detected in 30% in group B, which was twice as much in anteriorly placed grafts, whereas no resorp­ tion occurred in group A.Conclusion: The use of auricular grafts and poste­ rior placement was significantly associated with more graft displacement.

Kaynakça

  • Evans JN, Todd GB. Laryngo-tracheoplasty. J Laryngol Otol 1974;88:589-97.
  • Duynstee ML, de Krijger RR, Monnier P, Verwoerd CD, Verwoerd-Verhoef HL. Subglottic stenosis after endolaryngeal intubation in infants and children: result of wound healing processes. Int J Pediatr Otorhinolaryngol 2002;62:1-9.
  • Cotton RT, Tewfik TL. Laryngeal stenosis following carbon dioxide laser in subglottic hemangioma. Report of three cases. Ann Otol Rhinol Laryngol 1985;94(5 Pt 1):494-7.
  • Olson NR. Pannel discussion: the management of advanced laryngeal stenosis. Laryngoscope 1981;91:216.
  • Jacobs IN, Podrebarac P, Boden SD, Chen M. Graft healing in laryngotracheal reconstruction: an experi- mental rabbit model. Ann Otol Rhinol Laryngol 1999; 108:599-605.
  • de Jong AL, Park AH, Raveh E, Schwartz MR, Forte V. Comparison of thyroid, auricular, and costal cartilage donor sites for laryngotracheal reconstruction in an animal model. Arch Otolaryngol Head Neck Surg 2000;126:49-53.
  • Cotton RT. The problem of pediatric laryngotracheal stenosis: a clinical and experimental study on the effi- cacy of autogenous cartilaginous grafts placed between the vertically divided halves of the posterior lamina of the cricoid cartilage. Laryngoscope 1991; 101(12 Pt 2 Suppl 56):1-34.
  • Whited RE. Experimental and clinical reconstructive surgery of the larynx and trachea. Arch Otolaryngol 1984;110:315-7.

Larengotrakeoplasti için otojen kartilaj greftlerinin kullanımı: İki tekniğin ve iki tür greftin karşılaştırıldığı deneysel çalışma

Yıl 2006, Cilt: 16 Sayı: 6, 246 - 250, 02.12.2006

Öz

Amaç: Bu deneysel çalışmada, anterior veya posterior greft yerleştirme teknikleriyle, otojen olarak aurikula ve kostal kıkırdaktan elde edilen greftler kullanılarak uygulanan larengotrakeoplasti sonuçları karşılaştırıldı.Çalışma Planı: Çalışmada ağırlıkları 12-15 kg arasında değişen, her iki cinsiyetten seçilen 20 sağlıklı köpek kullanıldı. Hayvanlar eşit sayıda oluşturulan A ve B gruplarına ayrıldı. Grup A’da kostal kartilaj grefti, grup B’de auriküler kartilaj grefti kullanıldı. İki grupta da larenksin anterior ve posterior duvarları vertikal olarak ayrıldı ve kartilaj greftler buraya dikildi. Bulgular: Larenks örneklerinin mikroskobik incelemesinde, grup B’de %40, grup A %20 ve posteriora yerleştirilen greftlerde %50, anterior %10 dahayüksek oranda yer değiştirme gözlendi p

Kaynakça

  • Evans JN, Todd GB. Laryngo-tracheoplasty. J Laryngol Otol 1974;88:589-97.
  • Duynstee ML, de Krijger RR, Monnier P, Verwoerd CD, Verwoerd-Verhoef HL. Subglottic stenosis after endolaryngeal intubation in infants and children: result of wound healing processes. Int J Pediatr Otorhinolaryngol 2002;62:1-9.
  • Cotton RT, Tewfik TL. Laryngeal stenosis following carbon dioxide laser in subglottic hemangioma. Report of three cases. Ann Otol Rhinol Laryngol 1985;94(5 Pt 1):494-7.
  • Olson NR. Pannel discussion: the management of advanced laryngeal stenosis. Laryngoscope 1981;91:216.
  • Jacobs IN, Podrebarac P, Boden SD, Chen M. Graft healing in laryngotracheal reconstruction: an experi- mental rabbit model. Ann Otol Rhinol Laryngol 1999; 108:599-605.
  • de Jong AL, Park AH, Raveh E, Schwartz MR, Forte V. Comparison of thyroid, auricular, and costal cartilage donor sites for laryngotracheal reconstruction in an animal model. Arch Otolaryngol Head Neck Surg 2000;126:49-53.
  • Cotton RT. The problem of pediatric laryngotracheal stenosis: a clinical and experimental study on the effi- cacy of autogenous cartilaginous grafts placed between the vertically divided halves of the posterior lamina of the cricoid cartilage. Laryngoscope 1991; 101(12 Pt 2 Suppl 56):1-34.
  • Whited RE. Experimental and clinical reconstructive surgery of the larynx and trachea. Arch Otolaryngol 1984;110:315-7.
Toplam 8 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Araştırma Makalesi
Yazarlar

Maged B. Naguib Bu kişi benim

Mohamed Badr Eldin Bu kişi benim

Nagy Iskander Bu kişi benim

Ibrahım Hassan Bu kişi benim

Yayımlanma Tarihi 2 Aralık 2006
Yayımlandığı Sayı Yıl 2006 Cilt: 16 Sayı: 6

Kaynak Göster

APA Naguib, M. B., Badr Eldin, M., Iskander, N., Hassan, I. (2006). Experimental autogenous cartilaginous grafts for laryngotracheoplasty: a comparison of two techniques and two different types of grafts. The Turkish Journal of Ear Nose and Throat, 16(6), 246-250.
AMA Naguib MB, Badr Eldin M, Iskander N, Hassan I. Experimental autogenous cartilaginous grafts for laryngotracheoplasty: a comparison of two techniques and two different types of grafts. Tr-ENT. Aralık 2006;16(6):246-250.
Chicago Naguib, Maged B., Mohamed Badr Eldin, Nagy Iskander, ve Ibrahım Hassan. “Experimental Autogenous Cartilaginous Grafts for Laryngotracheoplasty: A Comparison of Two Techniques and Two Different Types of Grafts”. The Turkish Journal of Ear Nose and Throat 16, sy. 6 (Aralık 2006): 246-50.
EndNote Naguib MB, Badr Eldin M, Iskander N, Hassan I (01 Aralık 2006) Experimental autogenous cartilaginous grafts for laryngotracheoplasty: a comparison of two techniques and two different types of grafts. The Turkish Journal of Ear Nose and Throat 16 6 246–250.
IEEE M. B. Naguib, M. Badr Eldin, N. Iskander, ve I. Hassan, “Experimental autogenous cartilaginous grafts for laryngotracheoplasty: a comparison of two techniques and two different types of grafts”, Tr-ENT, c. 16, sy. 6, ss. 246–250, 2006.
ISNAD Naguib, Maged B. vd. “Experimental Autogenous Cartilaginous Grafts for Laryngotracheoplasty: A Comparison of Two Techniques and Two Different Types of Grafts”. The Turkish Journal of Ear Nose and Throat 16/6 (Aralık 2006), 246-250.
JAMA Naguib MB, Badr Eldin M, Iskander N, Hassan I. Experimental autogenous cartilaginous grafts for laryngotracheoplasty: a comparison of two techniques and two different types of grafts. Tr-ENT. 2006;16:246–250.
MLA Naguib, Maged B. vd. “Experimental Autogenous Cartilaginous Grafts for Laryngotracheoplasty: A Comparison of Two Techniques and Two Different Types of Grafts”. The Turkish Journal of Ear Nose and Throat, c. 16, sy. 6, 2006, ss. 246-50.
Vancouver Naguib MB, Badr Eldin M, Iskander N, Hassan I. Experimental autogenous cartilaginous grafts for laryngotracheoplasty: a comparison of two techniques and two different types of grafts. Tr-ENT. 2006;16(6):246-50.