Treatment of Recurrent Tracheocutaneous Fistulas in the Irradiated Neck with a Two Layers–Two Flaps Combined Technique
| Autor: | M. Pignatti, G. Sapino, M. Alicandri-Ciufelli, F. Canzano, L. Presutti, G. De Santis |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Indian Journal of Plastic Surgery, Vol 53, Iss 03, Pp 423-426 (2020) |
| Druh dokumentu: | article |
| ISSN: | 0970-0358 1998-376X 0040-1714 84400781 |
| DOI: | 10.1055/s-0040-1714769 |
| Popis: | The development of a tracheocutaneous fistula (TCF) is a well-documented complication after tracheostomy, especially in chronic morbid patients, in whom tubes or cannulas are left in place over time, or in irradiated patients. Surgical treatments are therefore needed which range from simple curettage and dressings to local skin flaps, muscle flaps and, in the more complex cases, microsurgical free tissue transfers. We present a novel combined technique used to successfully treat recurrent TCFs in irradiated patients, involving a superiorly based turnover fistula flap and a sternocleidomastoid transposition flap. |
| Databáze: | Directory of Open Access Journals |
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