The reconstruction of large laryngeal defect with medial condyle femur corticoperiosteal free flap—a case report

Abstract

The larynx is a complicated organ with very important functions. Reconstructive operations of the larynx often result in some function reduction caused by scars and stenoses. The aim of this report is to present the results of the one-stage reconstructive operation after a large excision of the chondrosarcoma of the larynx. The patient was male, aged 48 with the history of the operation of the highly mature cartilaginous sarcoma of the thyroid on the right side with tumor recurrence. The one-stage reconstructive surgery using medial condyle femur corticoperiosteal free flap which reshaped the cartilage scaffold and restored an inner layer as the mucosa was made. The flap survived without local and systemic complications. Six months follow-up revealed no local recurrence and good breathing results. There was no restriction of movement of the lower limbs. The patient returned to work previously performed. Results were shown in endoscopic examinations and computer tomography. The medial condyle femur corticoperiosteal free flap may be an option for reconstruction of large laryngeal defect with restoring its shape and inner layers.

The Medial Femoral Condyle Free Flap for Reconstruction of Recalcitrant Defects in the Head and Neck

“…Additionally, its stability and structural strength allows for endosseous implant placement. In head and neck reconstruction, the MFC flap has previously been described for the coverage of alveolar ridge defects, 25 maxillary, 29,30 orbital walls, 31 nasal septum, 32 and partial laryngectomy defects 33 . The MFC flap has previously been described for the coverage of small alveolar ridge defects in patients with cleft lip, palate, and alveolus 30 .…”

“…In head and neck reconstruction, the MFC flap has previously been described for the coverage of alveolar ridge defects, 25 maxillary, 29,30 orbital walls, 31 nasal septum, 32 and partial laryngectomy defects. 33 The MFC flap has previously been described for the coverage of small alveolar ridge defects in patients with cleft lip, palate, and alveolus. 30 The pedicle length can ranged from 3.5 cm when using the ascending geniculate branch to 9 cm when using the DG branch.…”

One-Step Laryngotracheal Reconstruction With Prefabricated Corticoperiosteal Flap

“…In 2009, Kashiwa and colleagues [7] presented a case of 2-stage reconstruction using a prefabricated corticoperiosteal flap from the femur. The medial femoral condyle corticoperiosteal free flap has been used in laryngeal reconstructive surgery once [8], with good results. Lining the flap with mucosa improved its quality as a replacement for a large defect and provided an inner layer.…”