The rotary door flap a breakthrough in laryngotracheal reconstruction.

The sternohyoid myocutaneous vascularized flap--the Rotary Door Flap (RDF),--is optimally oriented to serve in laryngotracheal reconstruction. It provides immediate highly vascularized lining and structural support to the augmented airway. Therefore it is one of the most versatile alternative methods available for surgical reconstruction of the stenosed larynx and trachea. This technique has been applied in 46 patients, of whom 14 were in the pediatric group. The features of the flap and the surgical technique are described.