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Otolaryngology – Head and Neck Surgery
Otolaryngology – Head and Neck Surgery

Laryngotracheoplasty with Thyroid Cartilage Graft

A horizontal piece of thyroid alar cartilage is harvested preserving perichondrium on both sides of graft. A vertical laryngo-crico-tracheo fissure is created to open stenotic segment as necessary.

The airway can be intubated with a small armored ventilating tube, allowing for laser or cup microlaryngeal removal of any glottic granulations.

The alar graft can be tailored to provide for adequate anterior augmentation of the cricoid ring.

Interrupted sutures (5-0 PDS recommended) are placed, not entering the lumenal side if possible. A corner stitch is utilized at each end of the graft to prevent prolapse of the graft into the lumen.

Once all sutures have been placed, the knots are tied down. The patient is kept intubated for 1-2 weeks prior to any extubation attempt