A free revascularized compound perichondrial flap was used over an intralaryngeally placed stent for reconstruction of a frontal laryngeal defect. The microvascular flap replaced the cartilaginous and mucosal defect. Short-term results showed successful reconstruction with a patent airway and viable mucosa. The vascularized sheet of perichondrium was not chosen for its neochondrogenetic effect, but it served as a vascular bed, nourishing the mucous and cartilaginous components in the compound flap. It is suggested that for clinical purposes the reliable fascia forearm flap, which is available in large amounts, can be used as a transferable vascularized bed with a thickness comparable to that of the perichondrial flap.
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KambičVGodinaMŽupevkA. Epithelialized microvascular iliac crest flap for reconstruction of subglottic and upper tracheal stenosis: a preliminary report. Am J Otolaryngol1986; 7: 157–62.
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Abul-HassanHSvon Drasek AsherGAclandRD. Surgical anatomy and blood supply of the fascial layers of the temporal region. Plast Reconstr Surg1986; 77: 17–24.
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HingDNBunckeHJAlpertBS. Use of the temporoparietal free fascial flap in the upper extremity. Plast Reconstr Surg1988; 81: 534–44.
21.
WebsterMHSoutarDS. Radial forearm flap — “the Chinese flap.” In: WebsterMHSoutarDS, eds. Practical guide to free tissue transfer. Vol 1. London, England: Butterworths, 1986: 60–6.
