Repair of tracheomalacia with inflammatory defect and mediastinitis.
| Autor: | Sandu K; Department of Otorhinolaryngology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland. kishore.sandu@chuv.ch, Monnier Y, Hurni M, Bernath MA, Monnier P, Wang Y, Ris HB |
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| Jazyk: | angličtina |
| Zdroj: | The Annals of thoracic surgery [Ann Thorac Surg] 2011 Jan; Vol. 91 (1), pp. e14-6. |
| DOI: | 10.1016/j.athoracsur.2010.10.081 |
| Abstrakt: | We describe a novel repair of an anterior inflammatory tracheal defect with mediastinitis, which occurred after external tracheal suspension of localized intrathoracic tracheomalacia. The malacic tracheal segment of 4-cm length containing the inflammatory tracheal defect was noncircumferentially resected. A temporary endotracheal silicone stent was introduced, and the trachea was closed by a pedicled pectoralis muscle flap reinforced with an embedded rib segment. Retrieval of the stent 5 months postoperatively resulted in a re-epithelialized, persistently stable, noncollapsible tracheal segment that showed the same diameter and configuration as the nonreconstructed part of the trachea. (Copyright © 2011 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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