Acquired subglottic stenosis in children is a difficult problem. One of the successful procedures used to correct this condition is an autogenous costal cartilage graft to the subglottis and upper trachea. The fate of the cartilage graft is not known, despite the good results of the procedure. Prompted by recovery of viable cartilage graft from two patients previously operated upon by this procedure, we performed autogenous costal cartilage grafting to the subglottic area of fifty young New Zealand rabbits, with inspection of these grafts at 2- and 4-month postoperative intervals. The purpose of this study is to prove the survival of autogenous costal cartilage grafts in the subglottic area. Gross and histologic examination 2 and 4 months postoperatively showed viable cartilage as well as lining of the graft with respiratory epithelium in the majority of cases.
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References
1.
. FearonBCottonR: Surgical correction of subglottic stenosis of the larynx in infants and children: A progress report. Ann Otol Rhinol Laryngol83: 428–431, 1974.
2.
. CottonR: Management of subglottic stenosis in infancy and childhood. Ann Otol Rhinol Laryngol87: 649–657, 1978.
3.
. MajeskiJASchreiberJTCottonRTMacMillanBG: Tracheoplasty for tracheal stenosis in the pediatric burned patient. J Trauma20: 81–86, 1980.
4.
. KanePMDuncavageJAThomasJHStagemanDLToohillRJ: Alloplastic implants of the larynx. Arch Otolaryngol109: 648–652, 1983.
5.
. FairchildFR: Reconstruction of the trachea. Surg Gynecol Obstet44: 119–122, 1927.
6.
. RethiA: An operation for cicatricial stenosis of larynx. J Laryngol Otol70: 283–293, 1956.
7.
. AboulkerPSterkersJMDemaldentJE: Modifications apportées a l'intervention de Réthi. Ann Otol Laryngol (Paris)83: 98–106, 1966.
. HolingerPHKutnickSLSchildJAHolingerLD: Subglottic stenosis in infants and children. Ann Otol Rhinol Laryngol85: 591–599, 1976.
11.
. GoodeRL: Bone and cartilage grafts: Current concepts. Otolaryngol Clin North Am5: 447–455, 1972.
12.
. WorkWPCoulthardSW: The injured larynx: A new surgical procedure for repair. Trans Am Acad Ophthalmol Otolaryngol82: 400–465, 1976.
13.
. ConleyJCirelliPBJohnsonPMKossM: Investigation of bone changes in composite flaps after transfer to the head and neck region. Plast Reconstr Surg51: 658–661, 1973.
. DruckNSAlonsoWAOguraJH: Hyoid arch transposition. Trans Am Acad Ophthalmol Otolaryngol82: 175–187, 1976.
17.
. FinneganDAWongMLKashimaHK: Hyoid autograft repair of chronic subglottic stenosis. Ann Otol Rhinol Laryngol84: 643–649, 1975.
18.
. WardPHCanalisRFeeWSmithG: Composite hyoid and sternohyoid muscle grafts in humans. Arch Otolaryngol103: 531–534, 1977.
19.
. ThawleySEOguraJH: Use of the hyoid graft for treatment of laryngotracheal stenosis. Laryngoscope91: 226–233, 1981.
20.
. MatukasVJSzymelaVVSchmidtJF: Surgical treatment of bony ankylosis in a child using a composite cartilage-bone iliac crest graft. J Oral Surg38: 903–905, 1980.
21.
. ChaitLA: The ‘C’ costal cartilage graft in reconstruction of the unilateral cleft lip nose. Br J Plast Surg34: 169–172, 1981.
22.
. TanzerRC: Microtia: A long-term follow up of forty-four reconstructed auricles. Plast Reconstr Surg61: 161, 1978.
23.
. ZbylskiJRLaRossaDDRichJD: Correction of lower eyelid ptosis in the anophthalmic orbit with an autogenous ear cartilage graft. Plast Reconstr Surg61: 220–224, 1978.
24.
. DonALirthicumFHJr.: The fate of cartilage grafts for ossicular reconstruction in tympanoplasty. Ann Otol Rhinol Laryngol84: 187–191, 1985.
25.
. ZarocostasG: An interesting case of tracheal stenosis. Laryngoscope76: 555–560, 1966.
. ZehmS: The use of composite grafts for reconstruction of the trachea and subglottic airway. Trans Am Acad Ophthalmol Otolaryngol84: 934–940, 1977.
28.
. ConsiglioV: Auricular cartilage autoplasty in experimental repair of the trachea. Panminerva Med11: 13–16, 1969.
29.
. FarmerAWMcCainWGFarkasLG: Replacement of tracheal defect in the dog by preformed composite graft: A preliminary report. Plast Reconstr Surg47: 262–268, 1971.
30.
. LapidotASodagarRRatanaprashtpornS: Experimental repair of subglottic stenosis in piglets. Arch Otolaryngol88: 529, 1968.
31.
. FearonBCottonR: Surgical correction of subglottic stenosis of the larynx. Ann Otol Rhinol Laryngol81: 508–513, 1972.
32.
. FearonBCinnamondM: Surgical correction of subglottic stenosis of the larynx: Clinical results of the Fearon-Cotton operation. J Otolaryngol5: 475–478, 1976.
33.
. StromeMNorrisCMJr.JosephMP: An assessment of grafts in the posterior cricoid lamina. Laryngoscope92: 1120–1125, 1982.
34.
. DrettnerBLindholmCE: Experimental tracheal reconstruction with composite graft from nasal septum. Acta Otolaryngol70: 401–407, 1970.
35.
. KrizekTJKirchnerJA: Tracheal reconstruction with an autogenous mucochondrial graft. Plast Reconstr Surg50: 123–130, 1972.
36.
. FurstossJAToohillRJ: Composite nasal septal autografts of the trachea. Ann Otol Rhinol Laryngol82: 831–837, 1973.
37.
. DuncavageJAToohillRJIsertDR: Composite nasal septal graft reconstruction of the partial laryngectomized canine. Trans Am Acad Ophthalmol Otolaryngol86: 285–290, 1978.
38.
. ToohillRJMartinelliDLJarovakMC: Repair of laryngeal stenosis with nasal septal grafts. Ann Otol Rhinol Laryngol85: 600, 1976.
. LaurianNZoharYTuraniH: Histologic findings in a larynx reconstructed by a nasoseptal autograft after partial laryngectomy. Laryngoscope93: 1481–1482, 1983.
42.
. GrafoordCLindgrenAGH: Mucous and salivary gland tumors in the bronchi and trachea. Acta Chir Scand92: 481–506, 1945.
43.
. SerranoAOrtiz-MonasterisFAndrade-PradilloJ: Reconstruction of the cervical trachea. Plast Reconstr Surg24: 333–340, 1959.
44.
. MontgomeryWW: Reconstruction of the cervical trachea. Ann Otol Rhinol Laryngol73: 5–15, 1964.
