Laryngeal framework reconstruction using titanium mesh in glottic cancer after frontolateral vertical partial laryngectomy

Objectives: To investigate the feasibility and efficacy of laryngeal framework reconstruction using titanium mesh in patients with glottic cancer after frontolateral vertical partial laryngectomy. Study Design: Prospective study. Methods: Defect of laryngeal framework, caused by frontolateral vertic...

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Bibliographic Details
Published in:The Laryngoscope 2010-11, Vol.120 (11), p.2197-2202
Main Authors: Liu, Xue-Kui, Zhang, Quan, Li, Quan, Liu, Wei-Wei, Li, Hao, Zeng, Zong-Yuan, Guo, Zhu-Ming
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Carcinoma, Squamous Cell - diagnosis
Carcinoma, Squamous Cell - surgery
Dermatology
glottic
Glottis - pathology
Glottis - surgery
Humans
laryngeal framework reconstruction
Laryngeal Neoplasms - pathology
Laryngeal Neoplasms - surgery
Laryngectomy - methods
Level of Evidence: Case-series
Male
Medical sciences
Middle Aged
Otorhinolaryngology. Stomatology
Prospective Studies
Reconstructive Surgical Procedures - methods
Risk Assessment
Sampling Studies
squamous cell carcinoma
Surgical Mesh
Titanium
Titanium mesh
Treatment Outcome
Tumors
Tumors of the skin and soft tissue. Premalignant lesions
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
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Summary:Objectives: To investigate the feasibility and efficacy of laryngeal framework reconstruction using titanium mesh in patients with glottic cancer after frontolateral vertical partial laryngectomy. Study Design: Prospective study. Methods: Defect of laryngeal framework, caused by frontolateral vertical partial laryngectomy in nine patients with T2 or T3 squamous cell carcinoma of glottic, were reconstructed with titanium mesh from 2007 to 2009. Computed tomography (CT) and fiberscopic examinations were performed at two weeks and three months postoperatively. Results: No aspiration and laryngeal stenosis was observed in the nine patients. CT scanning showed that titanium mesh was fastened well without displacement and deformity and that there was no laryngeal stenosis. Fiberscopic inspection showed that the larynx lumen was maintained well without stricture, shrinkage, and necrosis. No titanium mesh was exposed to the larynx lumen. Conclusions: Titanium mesh was a good alternative for reconstruction of the laryngeal framework. It provided adequate structural support to maintain airway patency. Laryngoscope, 2010
ISSN:0023-852X
1531-4995
DOI:10.1002/lary.21103