Predicting Maximal Costal Cartilage Graft Size for Laryngotracheal Reconstruction.
Laryngotracheal reconstruction
costal cartilage
laryngotracheoplasty
rib
subglottic stenosis
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
08 2022
08 2022
Historique:
revised:
28
09
2021
received:
27
08
2021
accepted:
06
10
2021
pubmed:
24
10
2021
medline:
9
7
2022
entrez:
23
10
2021
Statut:
ppublish
Résumé
Current methods of assessing rib cartilage dimensions for laryngotracheal reconstruction (LTR) are inexact, making surgical planning difficult. The purpose of this study was to determine the most appropriate rib for costal cartilage graft LTR to minimize the number of ribs harvested and improve surgical outcomes. Retrospective review. Computed tomography imaging of chest scans in 25 children aged 1 to 18 years was evaluated. The lengths and widths of medial and lateral cartilaginous segments of ribs 4 to 7 were measured bilaterally. Right and left cartilaginous rib dimensions were compared using a two-sample t-test. Linear mixed-effect regression was performed to develop models quantifying the relationship between rib size and patient height, rib side, and rib number. Regression analysis established strong models for medial rib length (R Cartilaginous rib lengths and widths were associated with patient height, with taller children having longer ribs. Inferior ribs were longer than superior ribs, suggesting that inferior ribs may be preferred for LTR. There was no difference in cartilaginous rib length across chest side. Results may help surgeons with preoperative planning. NA Laryngoscope, 132:1682-1686, 2022.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1682-1686Informations de copyright
© 2021 The American Laryngological, Rhinological and Otological Society, Inc.
Références
Fearon B, Cotton R. Surgical correction of subglottic stenosis of the larynx. Preliminary report of an experimental surgical technique. Ann Otol Rhinol Laryngol 1972;81:508-513. https://doi.org/10.1177/000348947208100408.
Monnier P. In: Monnier P, ed. Pediatric Airway Surgery. Berlin, Heidelberg: Springer Science & Business Media; 2010.
Propst EJ. Repair of short type IV laryngotracheoesophageal cleft using long, tapered, engaging graft without need for tracheotomy. Laryngoscope 2016;126:1006-1008. https://doi.org/10.1002/lary.25472.
Inglis AF, Perkins JA, Manning SC, Mouzakes J. Endoscopic posterior cricoid split and rib grafting in 10 children. Laryngoscope 2003;113:2004-2009. https://doi.org/10.1097/00005537-200311000-00028.
Nagata S. A new method of total reconstruction of the auricle for microtia. Plast Reconstr Surg 1993;92:187-201. https://doi.org/10.1097/00006534-199308000-00001.
Brent B, Tanzer RC. The correction of microtia with autogenous cartilage grafts. Plast Reconstr Surg 1980;66:22. https://doi.org/10.1097/00006534-198007000-00003.
Andreoli SM, Mills JC, Kilpatrick LA, White DR, Patel KG. CT measured normative cartilage growth in children requiring costochondral grafting. Otolaryngol Head Neck Surg 2013;149:924-930. https://doi.org/10.1177/0194599813504071.
Kang S-S, Guo Y, Zhang D-Y, Jiang D-Y. Rib cartilage assessment relative to the healthy ear in young children with Microtia guiding operative timing. Chin Med J 2015;128:2208-2214. https://doi.org/10.4103/0366-6999.162505.
Vilchez-Madrical LD, Greer M-L, Highmore K, Holowka S, Padfield N, Peer S, Campisi P, Forte V, Propst EJ. Normative growth of cartilaginous ribs in children using computed tomography imaging. Long Beach; 2013.
Propst EJ, Gorodensky JH, Wolter NE. Length of the cricoid and trachea in children: predicting intubation depth to prevent subglottic stenosis. Laryngoscope May. 2021. https://doi.org/10.1002/lary.29616.
Nakagawa S, Schielzeth H. A general and simple method for obtaining R2 from generalized linear mixed-effects models. Methods Ecol Evol 2013;4:133-142. https://doi.org/10.1111/j.2041-210x.2012.00261.x.
Koltai PJ, Ellis B, Chan J, Calabro A. Anterior and posterior cartilage graft dimensions in successful laryngotracheal reconstruction. Arch Otolaryngol Head Neck Surg 2006;132:631-634. https://doi.org/10.1001/archotol.132.6.631.
Bohluli B, Bagheri SC. Current Therapy in Oral and Maxillofacial Surgery, Chapter 104 - Revision Rhinoplasty. St. Louis, Missouri: Elsevier Inc; 2012:901-910. doi:https://doi.org/10.1016/B978-1-4160-2527-6.00104-3.
Gunter JP, Cochran CS, Marin VP. Dorsal augmentation with autogenous rib cartilage. Semin Plast Surg 2008;22:74-89. https://doi.org/10.1055/s-2008-1063567.