Laryngotracheal Reconstruction: From Lab to Clinic

by Pierre R. Delaere

Overview

Laryngotracheal Reconstruction: From Lab to Clinic lines for using the technique of tracheal autotra- presents the experimental and clinical aspects of plantation in conservation laryngectomy. The tissue reconstruction of the larynx and trachea. shortcomings and complications of tracheal auto- The book reflects the development and implemen- transplantation encountered in the initial patient tation of a research-based clinical program. The series led to a modification of the technique. The experimental work was started in 1989 with the modified autotransplantation technique proved to aim of improving the reconstructive possibilities be reliable from a reconstructive, functional and in the following two clinical situations: (1) extend- oncological viewpoint. ed hemilaryngectomy defects after tumour In a second part (Chap. VI), healing aspects after removal and (2) tracheal stenoses that are impos- repair of laryngotracheal defects are highlighted. sible to repair by segmental tracheal resection. The The healing mechanisms of the cartilage support, two problems differ in localization (larynx, tra- the mucosal lining and the blood supply were chea), etiology (oncology, traumatic), and treat- studied for each tissue component individually.

Product Details

ISBN-13:	9783642622458
Publisher:	Springer Berlin Heidelberg
Publication date:	04/19/2013
Edition description:	Softcover reprint of the original 1st ed. 2004
Pages:	304
Product dimensions:	8.27(w) x 10.91(h) x 0.03(d)

Table of Contents

I. Introduction.- II. Limits in laryngotracheal reconstruction.- III. Tracheal transplantation research.- IV. From bench to bedside: Implementing tracheal autotransplantation as organ saving procedure after extended hemilaryngectomy.- V. Modification of tracheal autotransplantation concept: Towards optimal reconstruction of extended hemilaryngectomy defects.- VI. From wound healing research to tracheal reconstruction with preformed, composite tissue.- VII. Other vascularized reconstructive tissue for laryngeal repair.- VIII. Progress in head and neck reconstruction: a historical overview based on blood supply of the reconstructive tissue.

Editorial Reviews

3 Stars from Doody

Reviewer: Kenneth W. Altman, MD, PhD (Northwestern University)
Description: This is a compendium of the author's experience with experimental and clinical laryngotracheal reconstruction techniques. Since this is an emerging discipline, particularly with conservation surgery for cancer, the emphasis on experimental/animal models is appropriate.
Purpose: The purpose is to provide experimental evidence, clinical guidelines, and healing aspects when using tracheal autotransplantation in conservation laryngeal surgery. These are worthy objectives that may provide a cancer or laryngotracheal stenosis patient with a functional larynx and trachea. The book generally meets the author's objectives by reviewing the scope of this emerging discipline.
Audience: The book is written principally for head/neck and plastic/reconstructive surgeons with an interest in reconstruction and wound healing in the larynx and trachea. However, the book is probably more appropriate for the academic researcher who is in the practice of developing these emerging techniques. This impression is principally supported by a strong focus on animal experimentation with these techniques. However, surgical atlas-like summary of reconstructive options are nicely presented.
Features: The book covers the scope of the field, from applied laryngotracheal anatomy and physiology, to experimental research, to clinical application. It covers tracheal transplantation, composite tissue reconstruction and other vascularized tissue flaps. The color art is particularly appropriate. There are some shortcomings, however, including suboptimal organization, use of English language in conveying concepts over the course of each section, and no indenting for paragraphs. These factors limit the overall effectiveness of the text.
Assessment: Overall, this is a good textbook for academic and other surgeons with an interest in the evolving techniques of transplant and free tissue flaps for laryngotracheal reconstruction. It is not a definitive thorough surgical atlas for these techniques, however. The figures are of particularly high quality. Since this is an authoritative text in a small field, it is a notable addition.

Doody's Review Service