[Rib cartilage graft laryngotracheal reconstruction for severe XXXX ].

@entity1 @entity39 @entity63 @entity2318 @entity256 @entity2737 @entity5274 @entity850
OBJECTIVE: To study the success and failure factors with rib cartilage graft laryngotracheal reconstruction for severe @entity850 for improving the rate of successful decannulation. METHODS: Thirty-six cases with severe @entity850 , received rib cartilage graft for laryngotracheal reconstruction during the last 18 years in our hospital, were analyzed retrospectively. RESULTS: Twenty-nine of the 36 @entity1 (80.5%) were successfully decannulated after one procedure. The follow-up time ranged from 1 to 10 years. All of the 29 @entity1 had a stable airway and normal exercise tolerance. The duration of @entity5274 was 10 days to one year (average 3 months). Seven @entity1 (19.5%) failed to decannulate. The factors of failure were disturbance of local blood circulation, @entity2737 followed rib @entity39 , T-tube injured mucomembrane then became a new @entity850 , and @entity256 for @entity2318 . CONCLUSION: Laryngotracheal reconstraction with rib cartilage graft is one of effective method for severe @entity850 . The procedure is relatively simple, and shorter duration of stenting and higher rate of success. The drawbacks of this technique are @entity63 @entity39 easily occurred for isolated cartilage and required additional surgery for the donor sit. The @entity1 with @entity2318 or undertaken radiotherapy is contraindications. All the managements, appropriate selection of @entity1 , diligent postoperative care, prevented @entity2737 and using T-tube properly, may increase the rate of successful decannulation. PJP].
