• Korean Journal of Bronchoesophagology
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• v.3 no.2
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• pp.327-331
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• 1997

One of the most difficult airway problems is a subglottic stenosis combined with a tracheal stenosis. Laryngotracheal stenosis has not been completely solved with classic methods like cricotracheal split with autogenous cartilage graft, thyrotracheal anastomosis, and free hyoid or hyoid-sternohyoid myo-osseous flap reconstruction. A 28-near-old male patient who had had laryngotracheal stenosis was successfully treated by laryngotracheal reconstruction using vascularized clavicle. This method has a several advantages: the vascularized clavicle harvesting in the same operative fields, one stage operation, less restenosis due to plentyful blood supply, md prevention of airway collapse due to a clavicle provided framework. It is too early to make a definite conclusion, but the authors suggested that this method could become one of the most effective methods of laryngotracheal stenosis.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1997.04a
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• pp.117-117
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• 1997

성문하 협착과 기관 협착이 동반된 경우 이를 치유할 몇가지 방법이 시도되고 있으나 만족할만한 효과를 얻지는 못하고 있다. 저자들은 성문하와 기관협착이 동반된 27세 남자환자에서 기관 및 성문하 협착부 전면을 제거후 쇄골에 흉쇄유돌근(Sternocleidomastoid muscle: SCM)이 붙은채로 쇄골의 절반을 절제하여 수질부위를 제거후 협부점막을 부착하였다. 이렇게 얻어진 Vascularized clavicle을 성문하와 기관의 전면부 재건에 이용하여 좋은 결과를 얻었기에 문헌고찰과 함께 이를 보고하고자 한다.