{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T23:57:38Z","timestamp":1781135858706,"version":"3.54.1"},"reference-count":49,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Der laryngotracheale \u00dcbergang (LT\u00dc) stellt aufgrund enger anatomischer\n\t\t\t\tVerh\u00e4ltnisse, komplexer Str\u00f6mungsverh\u00e4ltnisse und der N\u00e4he zu Glottis und Krikoid\n\t\t\t\teine funktionell kritische Zone dar. Ausgedehnte Stenosen, Krikoiddefekte und ein\n\t\t\t\tsuprastomaler Vorderwandverlust \u00fcberschreiten h\u00e4ufig die M\u00f6glichkeiten\n\t\t\t\tkonventioneller Resektions- und Rekonstruktionsverfahren.<\/jats:p>\n                  <jats:p>Darstellung der aktuellen Rolle mikrovaskul\u00e4rer Rekonstruktionen am LT\u00dc mit Fokus\n\t\t\t\tauf Indikationen, Techniken und Grenzen aus Sicht von HNO- und\n\t\t\t\tThoraxchirurgie.<\/jats:p>\n                  <jats:p>Narrative Literatur\u00fcbersicht zu klinisch etablierten Verfahren der\n\t\t\t\tLappenrekonstruktion am LT\u00dc.<\/jats:p>\n                  <jats:p>F\u00fcr kurze, nicht voroperierte Defekte bleiben Krikotrachealresektion und\n\t\t\t\tsegmentale Trachealresektion mit End-zu-End-Anastomose Standardverfahren.\n\t\t\t\tMikrovaskul\u00e4re Rekonstruktionen kommen vor allem bei langen, zirkul\u00e4ren\n\t\t\t\tLT\u00dc-Defekten, ausgedehntem Krikoidverlust, vorbestrahlten oder mehrfach\n\t\t\t\tvoroperierten Regionen sowie nach komplexen Vorinterventionen zum Einsatz. Der freie\n\t\t\t\tradiale Unterarmlappen ist in der aktuellen Literatur die am besten etablierte\n\t\t\t\tOption f\u00fcr lange tracheale und laryngotracheale Defekte und kann mit\n\t\t\t\tKnorpelverst\u00e4rkungen und mukosaler Auskleidung kombiniert werden. Knochentragende\n\t\t\t\tLappen wie der mediale Femurkondylenlappen (Medial femoral Condyle Flap, MFC) und\n\t\t\t\tder thorakodorsale Skapulaspitzenlappen (Thoracodorsal Artery scapular Tip Flap,\n\t\t\t\tTDAST) erm\u00f6glichen in ausgew\u00e4hlten F\u00e4llen larynxerhaltende Rekonstruktionen mit\n\t\t\t\tWiederherstellung einer tragf\u00e4higen Ring- bzw. Posteriorstruktur. Pr\u00e4fabrizierte\n\t\t\t\tKonzepte, ALT-basierte Lappen, Jejunumtransplantate und gestielte Lappen spielen\n\t\t\t\teine erg\u00e4nzende Rolle in Grenz- und Salvage-Situationen.<\/jats:p>\n                  <jats:p>Die mikrovaskul\u00e4re Rekonstruktion erweitert das Spektrum der Chirurgie des\n\t\t\t\tlaryngotrachealen \u00dcbergangs \u00fcber konventionelle Resektionsverfahren hinaus und kann\n\t\t\t\tin hochkomplexen Situationen einen funktionsf\u00e4higen oberen Atemweg bei vertretbarer\n\t\t\t\tMorbidit\u00e4t wiederherstellen. Angesichts begrenzter Evidenz aus Fallserien ist eine\n\t\t\t\tinterdisziplin\u00e4re Planung und B\u00fcndelung dieser Eingriffe in erfahrenen Zentren\n\t\t\t\tentscheidend.<\/jats:p>","DOI":"10.1055\/a-2866-2106","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T23:15:57Z","timestamp":1781133357000},"source":"Crossref","is-referenced-by-count":0,"title":["Mikrovaskul\u00e4re Rekonstruktion des laryngotrachealen \u00dcbergangs"],"prefix":"10.1055","author":[{"given":"Miguel","family":"Goncalves","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum W\u00fcrzburg, Deutschland","place":["W\u00fcrzburg"],"department":["Klinik und Poliklinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Kopf- und Hals-Chirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Hackenberg","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum W\u00fcrzburg, Deutschland","place":["W\u00fcrzburg"],"department":["Klinik und Poliklinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Kopf- und Hals-Chirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agmal","family":"Scherzad","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum W\u00fcrzburg, Deutschland","place":["W\u00fcrzburg"],"department":["Klinik und Poliklinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Kopf- und Hals-Chirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,6,10]]},"reference":[{"issue":"S 01","key":"ref1","doi-asserted-by":"publisher","first-page":"S148","DOI":"10.1055\/a-2181-9576","article-title":"Reconstructive Surgery of the Laryngotracheal Junction","volume":"103","author":"C Sittel","year":"2024","journal-title":"Laryngorhinootologie"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"293","DOI":"10.21037\/acs.2018.01.14","article-title":"Tracheal release 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