Korean J Otorhinolaryngol-Head Neck Surg.  2007 Jul;50(7):646-649.

Two Cases of Adenoid Cystic Carcinoma of the Trachea: Laryngotracheal Reconstruction with Sternocleidomastoid Myoperiosteal Flap

• Oh SJ
• Kim HS
• Kim JH
• Rho YS

Abstract

Adenoid cystic carcinoma of the trachea, although rare, is the second most common primary tumor of the trachea. It has a local infiltration and potential for regional and distant metastasis. Complete resection is the management of choice. But complete resection must be followed by proper reconstruction of laryngotrachea. The sternocleidomastoid myoperiosteal flap is an excellent technique for subglottic or tracheal reconstruction in selected cases of primary trachea tumor. The advantages of the sternocleidomastoid myoperiosteal flap lie in its single-stage reconstruction, the ease of the procedure, the relatively low complication rate, stabilization of the airway with good phonation, and long-term success. We report 2 cases of laryngotracheal reconstruction with sternocleidomastoid myoperiosteal flap. Both patients had acceptable airway patency and good phonation.

Keyword

Adenoid cystic carcinoma; Reconstructive surgical procedures; Surgical flaps; Trachea

MeSH Terms

Adenoids*
Carcinoma, Adenoid Cystic*
Humans
Neoplasm Metastasis
Phonation
Reconstructive Surgical Procedures
Surgical Flaps
Trachea*