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Related Experiment Videos

[Our results with partial vertical laryngectomies].

Z Krajina, F Kosoković, S Vecerina

    Laryngologie, Rhinologie, Otologie
    |June 1, 1976
    PubMed
    Summary

    Sternohyoid muscle fascia effectively covers large laryngeal defects after partial laryngectomy, showing high resistance to complications and no rejection. This method aids in successful decannulation for most patients undergoing extensive laryngeal surgery.

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    [Polyposis of the nose].

    Knjiga. Jugoslavenska akademija znanosti i umjetnosti. Odjel za medicinske nauke·2014
    Same author

    Half a century of the professional and scientific work in otorhinolaryngology.

    Acta medica Croatica : casopis Hravatske akademije medicinskih znanosti·2002
    Same author

    Pilocarpine in the prevention of postirradiation xerostomia.

    Acta medica Croatica : casopis Hravatske akademije medicinskih znanosti·2000
    Same author

    The Zagreb method of partial laryngectomy: a retrospective study 1970-1986.

    Acta medica Croatica : casopis Hravatske akademije medicinskih znanosti·2000
    Same author

    Nasal polyps in children.

    Acta medica Croatica : casopis Hravatske akademije medicinskih znanosti·2000
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    Endothelin-secreting tumors and the idea of the pseudoectopic hormone secretion in tumors.

    Medical hypotheses·1999

    Area of Science:

    • Otolaryngology
    • Surgical Oncology
    • Reconstructive Surgery

    Context:

    • Laryngeal cancer surgery often requires extensive resection, leading to significant endolaryngeal defects.
    • Reconstruction of these defects is crucial for functional recovery, including voice and breathing.
    • Traditional reconstructive methods may face challenges with complications and graft viability.

    Purpose:

    • To present a reconstructive technique using sternohyoid muscle fascia for broad endolaryngeal defects.
    • To evaluate the efficacy and safety of this fascial graft in patients undergoing partial laryngectomy.
    • To assess the impact of the graft on postoperative complications and decannulation rates.

    Summary:

    • A method utilizing sternohyoid muscle fascia to cover extensive endolaryngeal defects after partial laryngectomy was employed in 71 cases.
    • The fascia demonstrated excellent resistance to postoperative complications, with no instances of graft rejection.
    • While recurrence occurred in 15 cases (leading to nine deaths), the fascial graft facilitated successful decannulation in most patients, with only four exceptions due to post-irradiation complications.

    Impact:

    • The sternohyoid muscle fascia represents a viable and robust option for reconstructing large laryngeal defects.
    • This technique appears to minimize graft-related complications such as rejection and infection.
    • Further research may explore optimizing this method to mitigate post-irradiation complications affecting decannulation.

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