Can Modified Laryngosternopexy (Laryngoclaviculopexy) Project the Larynx Anteriorly?

  • Ryner Jose D. Carrillo Department of Anatomy, College of Medicine University of the Philippines Manila; Department of Otorhinolaryngology, College of Medicine - Philippine General Hospital University of the Philippines Manila
  • Jose Florencio F. Lapeña, Jr. Department of Otorhinolaryngology, College of Medicine - Philippine General Hospital University of the Philippines Manila
Keywords: Laryngosternopexy

Abstract

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.

 

Published
2018-11-13
How to Cite
1.
Carrillo RJ, Lapeña JF. Can Modified Laryngosternopexy (Laryngoclaviculopexy) Project the Larynx Anteriorly?. PJOHNS [Internet]. 13Nov.2018 [cited 13Dec.2018];33(2):53-5. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/281
Section
Surgical Innovation and Instrumentation