One-step laryngotracheal reconstruction with prefabricated cortico-periosteal flap

Abstract Large airway reconstruction is difficult and requires a flap which will mirror the tissue variety. The main challenge is to keep the reconstruction stable and prevent collapse. In this report, the authors present a laryngotracheal reconstruction with a buccal mucosa-prefabricated medial femoral condyle free flap, after chondroma excision in a one-step procedure. Functional results are promising and were confirmed by endoscopy and CT examination 12 months postoperatively. This reconstruction-with-prefabrication technique, among others, may be used in the reconstruction of different regions like craniofacial bone defects, apart from larynx and trachea.