Long-Segment Tracheal Reconstruction With Free Radial Forearm Flap Reinforced by Rib Cartilage
| Autor: | Brigitte Pittet-Cuénod, Céline Thomet, Pavel Dulguerov, Eva Meia Rüegg, Ali Modarressi |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Fistula 030204 cardiovascular system & hematology Transplantation Autologous Patient Care Planning Surgical Flaps 03 medical and health sciences Airway stenosis reconstruction 0302 clinical medicine Fatal Outcome Forearm Tracheal Neoplasm Medicine Humans 030212 general & internal medicine Esophagus Aged ddc:617 business.industry respiratory system Plastic Surgery Procedures medicine.disease Costal cartilage Surgery ddc:616.8 Transplantation Trachea Costal Cartilage Stenosis medicine.anatomical_structure Tracheal Neoplasms business Microvascular reconstruction and transplant surgery |
| Zdroj: | Annals of Plastic Surgery, Vol. 80, No 5 (2018) pp. 525-528 |
| ISSN: | 1536-3708 0148-7043 |
| Popis: | Long-segment tracheal reconstruction remains a challenge. The ideal tracheal substitute should be an epithelialized tube to prevent stenosis and sufficiently rigid to maintain airflow patency. An autologous technique using a radial forearm free flap reinforced by rib cartilage has been recently described for tracheal reconstruction. We report here two cases of complex tracheal reconstruction with a modification of this technique, which consists of the creation of two independent skin paddles to allow the reconstruction of the trachea and a second adjacent defect (eg, cervical skin, esophagus). Airway patency was achieved with no stenosis, prolonged stenting, fistula, or necrosis after 26 and 44 months, respectively. We suggest that the satisfactory outcome obtained with this modified technique is a valuable option for tracheal and adjacent defect reconstruction without the need for a second flap. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|