Closure of tracheoesophageal fistula with prefabricated deltopectoral flap

Closure of tracheoesophageal fistula with prefabricated deltopectoral flap

Tracheoesophageal fistula (TEF) is a serious complication associated with impaired quality of life. However, a successful TEF closure is difficult owing to the high incidence of recurrence. We utilized a prefabricated deltopectoral (DP) flap for closure of a TEF that occurred after an extended total...

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Bibliographic Details
Main Authors: Shigeyuki Murono, Eriko Ishikawa, Yosuke Nakanishi, Kazuhira Endo, Satoru Kondo, Naohiro Wakisaka, Tomokazu Yoshizaki
Format: Article
Language:English
Published: Elsevier 2016-10-01
Series:Asian Journal of Surgery
Subjects:
deltopectoral flap
prefabricated
skin graft
total thyroidectomy
tracheoesophageal fistula
Online Access:http://www.sciencedirect.com/science/article/pii/S1015958414000207
Description
Summary:Tracheoesophageal fistula (TEF) is a serious complication associated with impaired quality of life. However, a successful TEF closure is difficult owing to the high incidence of recurrence. We utilized a prefabricated deltopectoral (DP) flap for closure of a TEF that occurred after an extended total thyroidectomy. Prefabrication of the inner soft tissue lining the DP flap with a split skin graft was performed prior to surgical closure of a TEF. Esophageal and tracheal mucosa were sutured to the split thickness side and full thickness side of the prefabricated DP flap, respectively. A successful closure of the fistula was achieved with this procedure. Prefabricated DP flap is a useful procedure for the surgical treatment of TEF.
ISSN:1015-9584

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