SUBJECT INDEX 295. Subject Index

Transcription

1 SUBJECT INDEX 295 Subject Index adhesions 141, 146 adnexal remnant 262 adobe photoshop 92 airway obstruction 186 airway reconstruction -cartilage ear rib tracheal 219 -composite tissue -cryopreserved tracheal allograft 220 -vascularized epithelial lining 221 allograft endothelium 36 allotransplantation -larynx 14 -trachea 31, 207 anastomosis -end-to-end, tracheal resection 10 -granulation tissue 46 -laryngotracheal after resection of --subglottic stenosis 189 -mediastinal trachea 132, 135 -microvascular 18 -of transplant 32, 37 anastomotic -site 39 -stricture 11 -tension 11 anatomy of the larynx 1, 2, 3, 4 -anterior commissure 3, 76 -cricothyroid ligament 3 -hyoepiglottic ligament 3 -thyroepiglottic ligament 128 -ventricle 3 anatomy of the trachea 5 Andy Gump 279 angiogenesis 42, 202, 205 angiogenic induction 202 angiogenic stimulation 29 antecubital fossa 18 anterior commissure, see commissure anterior anterior expansion airway 20, 232 antibiotics 80, 132 apron incision 71 aryepiglottic fold 2, 85 arytenoid cartilage 9 -bilateral ankylosis 191 aspiration 71, 80, 108, 146 aspiration pneumonia 103 augmentation -laryngoplasty 230 -tracheal lumen 10 -tracheoplasty 207, 208, 231 avascular necrosis 47 axial pattern flap 267 axillary vessels 16 basement membrane 203 bilateral arytenoid immobility 191 blood supply -extrinsic 47 -intrinsic 47 brachiocephalic artery 5 brachiocephalic-subclavian system 5 breathy voice 108 buccal mucosa 19, 228, 229, 231

2 296 SUBJECT INDEX carina 5 cartilage -ear 21 -elastic 19 -healing 217 -patch 52 -rib 20, 192 -ring 5, 52 -support 19 -tracheal 20 -tube 216 cartilaginous tumors, see chondrosarcoma cell-mediated rejection 36 CHEP, see cricohyoidepiglottopexy chest wall 16 Chinese flap see radial forearm flap CHP, see cricohyoidopexy chondronecrosis 248 chondroradionecrosis, see chondronecrosis chondrosarcoma 85 -large tumor 175 -small tumor 177 -tracheal autotransplantation --initial concept 85 --modified concept 175 chondrosarcome, see chondrosarcoma closure -compensatory 103 -tracheostomy 148 commissure -anterior 3, 174 -posterior 2, 166, 169, 174 compensatory closure 103, 110 complete tracheal rings 194 composite tissue 14 -allografting 208 -buccal mucosa-cartilage-fascia 232 -buccal mucosa-fascia 224 -cartilage-blood supply 212, 218 -concept concept concept long airway stenosis prefabrication 237 -restenosis 225, 231 computerized tomography (CT) -after epiglottoplasty 247 -coronal reformation 153, 157, 162 -phonatory 12, 89, 151, 235 -quiet breathing 12, 89, 151, 235 congenital tracheal stenosis 190 conservation laryngectomy 9 costochondral junction 191 cricoarytenoid joint 85, 189 cricohyoidoepiglottopexy (CHEP) 8 cricohyoidopexy (CHP) 9 cricoid cartilage 3, 8 cricoid lamina 9 cricothyroid joint 4, 139 cricothyrotomy 186 cricotracheal -incision 76 -membrane 76 -resection 188 cricotracheal resection -for subglottic stenosis 189 cryopreserved tracheal allograft, see airway reconstruction cuff -pressure 186 -stenosis 186 cuffed tracheostomy tube 186 cutaneous -circulation 260 -fistulas 248 -trunci muscle 17 cyclosporin 31, 32 decannulation 62, 137 deltopectoral flap 268

3 SUBJECT INDEX 297 denudated tube 201 dermatome 262 donor 38 donor defect -fascia flap 72 -fasciocutaneous flap 144 donor site -cartilage 20 -fascia 18 -mucosa 19 -radial forearm flap 144 dysphonia 99 dyspnea 36, 38, 85, 215, 224, 237 ear cartilage 21 Eliachar laryngeal stent 192, 231 endoscopic approach 7 endoscopy 1 endothelial cells 41 endotracheal -intubation 10, 186 -repopulation 40, 41 -tube 186, 190 epiglottic laryngoplasty -key surgical points 246 -surgical technique 245 epiglottic petiole 79 epiglottis 3, 7 epithelium -pseudostratified ciliated 1, 19, 29 -squamous 1, 19, 29 eptfe membrane 132, 141, 142, 143 -ultrastructure 141 esophagus 113 -cervical 71 expansion airway lumen 46 false vocal cords 3 fascia flap -forearm 17 -lateral thoracic 16 -mucosa lined 230 fascial wrapping 27, 71, 73 fibrin glue 189 fibrocartilage 20 flap -axial pattern 267 -deltopectoral 268 -failure 81 -fibular 280 -forehead 267 -lateral thoracic 17 -latissimus dorsi 277 -pectoralis major 269 -prefabrication 236, 284 -prelamination 285, 292 -radial forearm 18, 272 -random pattern 265 -rectus abdominis 276 fold -aryepiglottic 2 -interarytenoid 3 -vocal 3 follow-up 38 free jejunal autograft 282 frozen section 232 full-thickness graft 72, 144, 263 gastric tube 67, 82 gastroepiploic artery 25 gastroesophageal reflux 187 glottic cancer 69 glottic competence 96 glottic gap -anterior 2 -posterior 2 glottic incompetence 97 glottic insufficiency 63

4 298 SUBJECT INDEX glottic lesions -T T2 66, 83 -T3 66, 83 Gore-tex membrane, see eptfe membrane Gore-Tex sheet 56, 73, 74 Gore-Tex tube 238 graft -cartilage 20 -buccal mucosa 19, 221 -full-thickness skin 263 -recipient 42 -repopulation 41 -split-thickness skin 262 -tolerance 41 graft-host junction 41 granulation tissue 45, 55, 195, 200, 202, 220 graphical model 94 greater omentum transfer, see omental flap guidewire 67 immunosuppression -cessation 39 -continuous 31, 40 immunosuppressive protocol 40 interarytenoid muscle 3 intercartilaginous ligament 29, 48, 112 interglottic gap 2 internal jugular vein 70 internal mammary vessels 268 intubation -endotracheal 186 -tube 76 ischemia 27 ischemic necrosis -of cartilage component 35 -of mucosa 190 ischemic trachea 47 jejunum, see Free jejunum transfer hair follicle 262 hematoma 75 hematome, see hematoma hemicrico-hemilaryngectomy 14, 51, 62 histocompatibility 218 hyoepiglottic ligament 3 hyoid bone 3 hyperbaric oxygen therapy 248 hypertrophic scars 195 hypopharyngeal cancer 125 -tracheal autotransplantation --initial concept 84 --modified concept 174 hypopharyngeal mucosa 84 iliac crest 17 immune cells 34 key features -experimental orthotopical transplantation 31 -heterotopical revascularization 30 -tracheal autotransplantation 58 lamina propria 29, 30, 35, 202, 204 laryngeal -competence 98 -function 1 -incompetence --with compensation without compensation 103 -remnant 62 -ventricle 3 laryngeal artery -inferior 24 -superior 24

5 SUBJECT INDEX 299 laryngeal framework -arytenoid cartilages 3 -cricoid 3 -epiglottis 3 -hyoid bone 3 -thyroid cartilage 3 laryngeal morphology 179 laryngeal nerve recurrent 4 laryngeal spaces -paraglottic space 3 -preepiglottic space 110 laryngeal stenosis -posterior cartilage graft 192 -posterior glottic stenosis 190 laryngectomy -frontal 245 -horizontal supraglottic (HSL) 7, 110 -near total 62, 81, 118 -specimen, see resection specimen -supracricoid --with cricohyoidoepiglottopexy 8 --with cricohyoidopexy 9 -total 62, 112 laryngofissure 191 laryngopharyngectomy, pectoralis major 271 laryngoplasty -epiglottic 234 laryngotracheal hypoplasia 237 lateral antebrachial cutaneous nerve 272 lateral longitudinal anastomosis 5 lateral thoracic -artery 17 -fascia 16 -vein 17 -vessels 16 latissimus dorsi flap 277 limits -in larynx reconstruction 7, 8, 9 -in reconstruction of stenosis 10, 11 liposarcoma 138 long segment stenosis 11 longitudinal anastomosis 5 lymph node 20 lymphocytes 34, 37, 39 lymphocytic infiltration 37, 39 magnetic resonance imaging (MRI) -experimental tracheal autotransplantation 53 -experimental tracheal patch transplantation 45 -experimental tracheal transplantation 32 mandible reconstruction 281 membrane -cricothyroid 3 -thyrohyoid 3 microcirculation trachea 34, 272 microfil 17, 42, 45, 198, 200, 213, 215 microvascular thrombosis 29, 36 mitomycin 187, 203, 205 monitor flap 38, 72, 82, 131, 136, 228 morphometrical data 97 morphometrical evaluation -laryngeal competence 98 -laryngeal incompetence --with compensation without compensation 103 morphometrical model 89 mucociliary -clearance 31, 33, 49 --recovery 49 -transport 5 mucosa 19 mucosal -desintegration 30, 34 -graft 19, 221 -ischemia 186 -layer --laryngeal pharyngeal 154

6 300 SUBJECT INDEX multislice CT 89 muscle flap 11 musculocutaneous artery and vein 260 myocutaneous flap 270 -latissimus dorsi 277 -pectoralis major 271 -rectus abdominis 276 myofibroblast 203, 252 N0 neck 71 nasogastric feeding tube 67 nasolaryngoscopy fiberoptic 1 neck dissection -anterolateral 170 -modified 71 -selective 71, 170 neopharynx 271 omentum 25 omental flap 25 optimal -patch position 92, 95 -reconstruction 182 -repair 15 order reversal 118 osseointegrated implants 281 osseous free flap, see flap fibular paddle -fascia 122 -skin 123 panniculus carnosus 17 paraffin gauze dressing 80, 238 paraglottic space 3, 12 -involvement 114 parotid duct 19 patch design 42 -morphologic 44 -optimal 46 -vascular 42 patch necrosis 56, 57 pectoralis major flap -anatomy 270 -blood supply 270 -muscle 249, 81 -musculocutaneous 271 percutaneous gastrostomy 67, 146 pericardium 11, 206 perichondrium 212 periosteum 11 permanent cannula 81 petiole 76 pharyngectomy -partial 271 pharyngolaryngectomy -pectoralis myocutaneous flap reconstruction 271 -total with jejunal free flap reconstruction 282 piecemeal resection 87 plane -glottic 8 -subglottic 8 -supraglottic 8 posterior bulk 149, 152, 162, 181 posterior commissure, see commissure posterior posterior laryngeal gap 2 postintubation laryngeal stenosis 190 preepiglottic space -involvement 127 prefabrication 239 preoperative percutaneous endoscopic gastrostomy 67 primary healing 46 prolaps 223 pulmonary reserve 110 pyriform sinus 66, 76

7 SUBJECT INDEX 301 -apex 84 -cancer 84 -carcinoma -extended hemilaryngectomy 125 rabbit -Dutch 38 -New Zealand 38 radial -artery 18 -vein 18 radial forearm -design 72 -dissection 72 -donor site 18, 72 -fascia 18 -flap design 72 -flap failure 74, 81 -mucosa lined 222 -secondary correction 106 -skin flap 123 radiotherapy 66 recanalization 29, 41 receptor 38 rectus abdominis flap 276 recurrence -early 114 -late 117 -locoregional 114 recurrent nerve, see laryngeal nerve, recurrent reepithelialization 195, 218 regenerated capillaries 35 regeneration 29, 30 reintubation 74 rejection -acute 34 -chronic 38 repopulation 41 resection specimen -chondroradionecrosis 249 -pyriform sinus cancer 84 -synovial sarcoma 84 -T2-T3 glottic cancer 83, 115, 167, 168 -total laryngectomy 115, 118 -transglottic cancer 109 respiratory distress 202, 206, 215 respiratory epithelium -basal cells 28 -desintegration 27 -migration 40, 202, 210 -regeneration 202 respiratory function 181 respiratory larynx 151, 152, 162, 183 respiratory mucosa -exteriorization 198 revascularization, see tracheal revascularization rib graft 20 routes of tracheal revascularization 28 SCPL, see supracricoid partial laryngectomy Sebaceous gland 262 secondary -correction 106, 107 -healing 209 -vascularization 81 second look procedure 141 section margin -reevaluation 124 segmental tracheal resection 10 septocutaneous artery and vein 260 Shiley cannula 86, 145, 147 silicone -dye 31 -spot 29 silicone particles 33, 165 sinus of Morgagni, see anatomy of the larynx, ventricle

8 302 SUBJECT INDEX skin -dermis 195 -epidermis 260 -fascia 260 -subcutaneous tissue 260 slide tracheoplasty 10, 194 speech and swallowing function 150 speech therapist 82 sphincteric -function of larynx 63, 65, 101, 146, 181 -larynx 151, 152, 162, 183 spiral CT, see also multislice CT split-thickness graft 144, 249, 261, 263 squamous epithelium 28 stenosis -glottic 190 -laryngeal 291 -subglottic congenital 190 -tracheal 186 stenting 206 sternohyoid muscle 221 sternum 20 stoma 8 stomach 67 subclavian artery 4 subglottic extension 9, 83, 115, 116, 166 subglottic stenosis -acquired 186 -congenital 186 -grade I-II 212 -grade IV 224 subglottis 3 submucosal capillary network 5 support 45 supracricoid partial laryngectomy (SCPL) 7 supraglottic carcinoma 111 supraglottic laryngectomy 111 suture -dexon 226, 229, 239 -polypropylene 31, 52, 239 -vicryl 78, 189 swallowing -function 67 -pharyngeal phase 2 -recovery 67 sweat gland 262 synovial sarcoma 84 temporary reconstruction 122, 154, 155 thoracoacromial artery and vein 270 thrombosis 27, 28, 39 thyrohyoid membrane, see membrane thyrohyoid thyroid ala 12 thyroid artery -inferior 24 -superior 4, 24 thyroidectomy 68 thyroid gland 4, 24, 127 -transplant 25 -vascular anatomy 24 thyrotracheal anastomosis 189 time table -tracheal allograft rejection 34 -tracheal revascularization 30 TNM classification 127 tongue reconstruction 275 total laryngectomy -second stage 112 -specimen 115 total parotidectomy defect 264 tourniquet 72 trachea -cartilaginous 70 -cervical 47, 71, 77 -mediastinal 70, 79 -membranous 28, 30, 43, 46, 57, 70, 77, 133, 197 -native 31, 37, 40, 45, 162 -recipient 26

9 SUBJECT INDEX 303 tracheal -artery 5 -blood supply 5 --extrinsic 58 --intrinsic 58 -cannula 193 -defect --circumferential 10, patch 11, 200 -reimplantation 197 -resection 10, 188 -restenosis 10 -reversal 50 -ring 5 -stenosis 10 -stricture --laser vaporization 187 tracheal autotransplantation -chondrosarcoma 85 -contraindications 166 -function 145, 150 -glottic cancer 83 -hypopharyngeal cancer 174 -indications 166 -initial concept 66 -liposarcoma 138 -modified concept 121 -morphology 95 -neck dissection 71 -reversed 49 -one-stage advancement 57 -one-stage procedure 56 -optimal 91, 95 -pyriform sinus cancer 84 -two-stage procedure 47, 51 tracheal allotransplantation -human cadaveric 218 -orthotopical 31, 32 -postmortem macroscopy 32 tracheal patch -allotransplantation 44 -configuration glottic level 91 -configuration subglottic level 91 -configuration supraglottic level 91 -morphologic design 45 -MRI 45 -postmortem macroscopy 45 -vascular design 42 tracheal revascularization 28 -direct 24 -heterotopical 25, 27, 34, 42, 44 -indirect 24 -optimal 30 -orthotopical 25, 47, 48 -period 30 -principle 27 -routes 28 -time table 30 -unprotected 34 tracheal stenosis -after laryngectomy 254 -causes 186 -congenital 190 -laser 187 tracheoesophageal -artery 5 -groove lymph nodes 71 -vessels 5 tracheo-oesophageal groove 4, 5 tracheostome 68, 130, 172 -wound healing 80 tracheostomy 57, 136 -closure 82, 148, 173 -difficult after tracheal autotransplantation 252 -long-standing 250 -permanent 62 -tube 190 tracheotomy 66 transferable bed 19 transglottic

10 304 SUBJECT INDEX -cancer 109 -tumors 9 transilluminate 67 transverse intercartilaginous artery 5 trough principle tumor -recurrence early late locoregional 114 -staging, see TNM classification vagal nerve 4 valsalva 84 vascular carrier 208, 212, 227 vascular induction 126, 196 vascular plexus 248 vascularized -cartilage 216, patch tube 214, 215 -mucosa 232 -periosteum 210 -soft tissue 209 VEGF 218 venous congestion 81 vocal cord -false 3 -paralysis --lateral 64 --midline 13, 64, paramedial 12, 64, 90 vocal fold -fixation 62 -intercartilaginous 1 -membranous 1 voice -breathy 103, 146, 164 -aphonic 103 -voice and swallowing function 179 voice prosthesis 243 vox implants 164 width of flap 171, 181 wound contraction 195, 200, 202, 210 wound healing -after first operation 74 -after second operation 79 -around tracheostome 79 -trachea --circumferential patch anterior defect 199 wound margins 195 wrapping, see fascial wrapping