The goal of successfully transplanting tile larynx has motivated resea
rchers since the 1960s. Early laryngeal transplant techniques limited
the donor larynx to 45 minutes of ischemia, In this study, a method of
prolonged laryngeal preservation is employed in three canines, In viv
o cold laryngeal perfusion with University of Wisconsin Solution (UWS)
was performed, The larynx was removed and placed into cold storage in
4 degrees C UWS. After 24 hours of storage, the same canines underwen
t laryngeal reimplantation, The animals were sacrificed 7 days after r
eimplantation. No evidence of necrosis or vascular insufficiency was i
dentified histologically. The results indicate that canine larynges ca
n be successfully reimplanted after 24 hours of preservation, Future s
tudies will assess the application of this technique to laryngeal tran
splantation.