Laryngotracheal (luh-ring-go-TRAY-key-ul) reconstruction surgery widens your windpipe (trachea) to make breathing easier. Laryngotracheal reconstruction involves inserting a small piece of cartilage — stiff connective tissue found in many areas of your body — into the narrowed section of the windpipe.
Children most commonly experience problems with a narrowed windpipe. It can occur for many reasons, including injury, infection, stomach acid reflux, a birth defect or the result of the insertion of a breathing tube. An adult's windpipe can become narrowed for the same reasons, but the cause may also be a disease that causes blood vessel or tissue inflammation, such as Wegener's granulomatosis or sarcoidosis.
The goal of laryngotracheal reconstruction is to provide a safe and stable airway without the use of assistance from a breathing tube.
Mar. 27, 2013
- Lalwani AK. Current Diagnosis & Treatment in Otolaryngology - Head & Neck Surgery. 3rd ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=39. Accessed Dec. 30, 2012.
- Meier JD, et al. Multisystem disease and pediatric laryngotracheal reconstruction. Otolaryngologic Clinics of North America. 2012;45:643.
- Vocal fold paralysis. National Institute on Deafness and Other Communication Disorders. http://www.nidcd.nih.gov/health/voice/pages/vocalparal.aspx. Accessed Dec. 29, 2012.
- Flint PW, et al. Cummings Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa.: Mosby Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-323-05283-2..X0001-8--TOP&isbn=978-0-323-05283-2&uniqId=230100505-57. Accessed Dec. 30, 2012.
- Q & A: What you should know before surgery. American Society of Anesthesiologists. http://www.lifelinetomodernmedicine.com/What-To-Expect/QA-What-You-Should-Know-Before-Surgery.aspx. Accessed Dec. 30, 2012.
- Lando T, et al. Minimally invasive techniques in laryngotracheal reconstruction. Otolaryngologic Clinics of North America. 2008;41:935.
- Rohren CH (expert opinion). Mayo Clinic, Rochester, Minn. Feb. 4, 2013.
- Orvidas LJ (expert opinion). Mayo Clinic, Rochester, Minn. March 12, 2013.
- Weed HG, et al. Postoperative fever. http://www.uptodate.com/home. March 12, 2013.