[Use of biomaterial alloplant and homeostatic material surgicel in reconstructive laryngeal and tracheal surgery]

Posttraumatic stenosis of the larynx, cervical and upper choracic parts of the trachea was treated surgically using biomaterial (cartilage) alloplant and hemostatic material sergisel with an antibacterial effect. Cartilage implantation into the lateral tracheal walls was made in 10 patients, creation of the lateral and anterial walls of the larynx and trachea was made in 4 patients. Short before the cartilage placing in the tissues it was packed with material sergisel. Further adequate dilatation prosthetic reconstruction of the trachea for 3-4 months with application of silicon T-tube allowed complete decanulation of 7 patients (50%) -- they have undergone plastic surgery of the anterior tracheal wall. The rest 7 patients are at the stage of dilatation of the tracheal passage with a good response to therapy. Thus, a positive treatment result of alloplant and sergisel (implant and hemostatic materials, respectively) allows us to recommend these materials for reconstructive surgery of hollow organs of the neck.

PMID: 18163077 [PubMed - indexed for MEDLINE]