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Submitted: 25 February 2019 Modified: 20 August 2019
HERDIN Record #: 108908-19022517201155

Can modified laryngosternopexy (laryngoclaviculopexy) project the larynx anteriorly?.

Jose Florencio F. Lapeña Jr.

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Laryngosternopexy is a suturing method between the thyroid lamina and sternal ligament in order to relieve tension from the anastomosis when performing segmental resection of the airway.  A thick absorbable monofilament suture is passed through thyroid lamina and the interclavicular ligament of the sternum in a figure of eight fashion as described by Castellanos.1,2 In laryngosternopexy, the suture support is ventral to the anastomotic site in the midline. However, this places the "pexy" sutures in the way, making a tracheotomy and second stage decannulation difficult. We describe a modified laryngosternopexy (laryngoclaviculopexy) that can be performed with the "pexy" sutures out of the way to allow access to the trachea, and our initial experience with three patients.

Publication Type
Journal
Publication Sub Type
Others
Project Title
Can modified laryngosternopexy (laryngoclaviculopexy) project the larynx anteriorly?
Title
Philippine Journal of Otolaryngology Head and Neck Surgery
Frequency
Semi-Annual
Publication Date
July-December 2018
Volume
33
Issue
2
Page(s)
53-55
LocationLocation CodeAvailable FormatAvailability
Philippine Society of Otolaryngology-Head and Neck Surgery Fulltext pdf (Download)
Philippine Society of Otolaryngology-Head and Neck Surgery Fulltext External Link (View)
Philippine Council for Health Research and Development Fulltext Print Format (Request Document)
1. Castellanos, P F. (). Laryngosternopexy [Youtube Video 2011 May 14]. . Retrieved from: http://https://www.youtube.com/watch?v=23Kweq21z8k
2. Castellanos, P F. (). LSP surgery photos. . Retrieved from: http://airwaysurgeon.com/AirwaySurgeon/LSP_Surgery_Figures.html
3. Atallah, I , Aldkhyyal, A , Castellanos, P F. "Modified single-stage segmental cricotracheal resection" Eur ArchOtorhinolarygol 275(1): 139-146, January 2018
4. Kotake, Y , Grillo, H C. "Reduction of tension at the anastomosis following tracheal resection in puppies" J Thoracic Cardiovasc Surg 71(4): 600-4, April 1976