Laryngotracheal reconstruction


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Definition

By Mayo Clinic staff

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Illustration of the anatomy of the throat 
Throat anatomy

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.

References
  1. 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.
  2. Meier JD, et al. Multisystem disease and pediatric laryngotracheal reconstruction. Otolaryngologic Clinics of North America. 2012;45:643.
  3. 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.
  4. 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.
  5. 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.
  6. Lando T, et al. Minimally invasive techniques in laryngotracheal reconstruction. Otolaryngologic Clinics of North America. 2008;41:935.
  7. Rohren CH (expert opinion). Mayo Clinic, Rochester, Minn. Feb. 4, 2013.
  8. Orvidas LJ (expert opinion). Mayo Clinic, Rochester, Minn. March 12, 2013.
  9. Weed HG, et al. Postoperative fever. http://www.uptodate.com/home. March 12, 2013.
MY02352 April 26, 2013

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