Laryngeal reconstruction by complex hyoid bone flap after frontal partial laryngectomy

Dian Ouyang, An kui Yang, Quan Zhang, Wen kuan Chen, Ming Song, Hao Li, Wei wei Liu, Xue kui Liu, Yan feng Chen, Qiu li Li, Wei chao Chen, Zhong yuan Yang, Xing Zhang, Shu wei Chen, Zhu ming Guo

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: The aim of this study was to describe a new technique of combined hyoid bone and thyrohyoid membrane flap in laryngeal reconstruction after tumor resection, and to evaluate outcome.

METHODS: Six patients requiring an frontal partial laryngectomy for cancer were enrolled between September 2008 and August 2012.

RESULTS: Nasogastric feeding was initiated within 24 hours. The mean times to swallow batter, ability to drink water and removal of the nasogastric tube were 2.6, 5.5 and 6.3 days. All patients had good respiratory function. There were no deaths, and no reports of postoperative dyspnea or dysphagia. The vocal quality was satisfactory, slightly deeper and raspy, and the volume was weak when calling. The final follow-up assessment was in August 2012, and the overall mean follow-up period was 29.5months, range 14 to 47 months. Case two subsequently underwent total laryngectomy for recurrence in the paraglottic space, but there was no evidence of further tumor recurrence at the final assessment.

CONCLUSIONS: The combined muscle-pedicle hyoid bone and thyrohyoid membrane flap is a reliable graft for one-stage repair of laryngotracheal defects, providing effective repair of the mucosa and cartilage support. Vocal quality, swallowing function and ventilation after the procedure were favorable.

Original languageEnglish (US)
Pages (from-to)340-343
Number of pages4
JournalZhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery
Volume48
Issue number4
StatePublished - Apr 1 2013

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Hyoid Bone
Laryngectomy
Deglutition
Recurrence
Neoplasms
Membranes
Deglutition Disorders
Dyspnea
Cartilage
Ventilation
Mucous Membrane
Transplants
Muscles
Water

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Laryngeal reconstruction by complex hyoid bone flap after frontal partial laryngectomy. / Ouyang, Dian; Yang, An kui; Zhang, Quan; Chen, Wen kuan; Song, Ming; Li, Hao; Liu, Wei wei; Liu, Xue kui; Chen, Yan feng; Li, Qiu li; Chen, Wei chao; Yang, Zhong yuan; Zhang, Xing; Chen, Shu wei; Guo, Zhu ming.

In: Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery, Vol. 48, No. 4, 01.04.2013, p. 340-343.

Research output: Contribution to journalArticle

Ouyang, Dian ; Yang, An kui ; Zhang, Quan ; Chen, Wen kuan ; Song, Ming ; Li, Hao ; Liu, Wei wei ; Liu, Xue kui ; Chen, Yan feng ; Li, Qiu li ; Chen, Wei chao ; Yang, Zhong yuan ; Zhang, Xing ; Chen, Shu wei ; Guo, Zhu ming. / Laryngeal reconstruction by complex hyoid bone flap after frontal partial laryngectomy. In: Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery. 2013 ; Vol. 48, No. 4. pp. 340-343.
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abstract = "OBJECTIVE: The aim of this study was to describe a new technique of combined hyoid bone and thyrohyoid membrane flap in laryngeal reconstruction after tumor resection, and to evaluate outcome.METHODS: Six patients requiring an frontal partial laryngectomy for cancer were enrolled between September 2008 and August 2012.RESULTS: Nasogastric feeding was initiated within 24 hours. The mean times to swallow batter, ability to drink water and removal of the nasogastric tube were 2.6, 5.5 and 6.3 days. All patients had good respiratory function. There were no deaths, and no reports of postoperative dyspnea or dysphagia. The vocal quality was satisfactory, slightly deeper and raspy, and the volume was weak when calling. The final follow-up assessment was in August 2012, and the overall mean follow-up period was 29.5months, range 14 to 47 months. Case two subsequently underwent total laryngectomy for recurrence in the paraglottic space, but there was no evidence of further tumor recurrence at the final assessment.CONCLUSIONS: The combined muscle-pedicle hyoid bone and thyrohyoid membrane flap is a reliable graft for one-stage repair of laryngotracheal defects, providing effective repair of the mucosa and cartilage support. Vocal quality, swallowing function and ventilation after the procedure were favorable.",
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AU - Yang, An kui

AU - Zhang, Quan

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AU - Li, Hao

AU - Liu, Wei wei

AU - Liu, Xue kui

AU - Chen, Yan feng

AU - Li, Qiu li

AU - Chen, Wei chao

AU - Yang, Zhong yuan

AU - Zhang, Xing

AU - Chen, Shu wei

AU - Guo, Zhu ming

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