Split Latissimus Dorsi Muscle Flap Repair of Acquired, Nonmalignant, Intrathoracic Tracheoesophageal and Bronchoesophageal Fistulas
The development of a fistula between the tracheobronchial tree and oesophagus due to nonmalignant causes is uncommon. Division of the fistula with muscle flap interposition eliminates contact between the tracheobronchial segment and the oesophagus, theoretically decreasing the chance of recurrence a...
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Veröffentlicht in: | Heart, lung & circulation lung & circulation, 2015-06, Vol.24 (6), p.e75-e78 |
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creator | Hammoudeh, Ziyad S., MD Gursel, Eti, MD Baciewicz, Frank A., Jr., MD |
description | The development of a fistula between the tracheobronchial tree and oesophagus due to nonmalignant causes is uncommon. Division of the fistula with muscle flap interposition eliminates contact between the tracheobronchial segment and the oesophagus, theoretically decreasing the chance of recurrence as well as providing a robust blood supply to aid in healing. The split latissimus dorsi muscle flap is a well-suited flap for such repairs because of the ability to simultaneously cover two separate apertures (tracheobronchial and oesophageal). The authors describe the split latissimus dorsi muscle flap with step-by-step technique for repair of intrathoracic aerodigestive fistulas. |
doi_str_mv | 10.1016/j.hlc.2014.12.166 |
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Division of the fistula with muscle flap interposition eliminates contact between the tracheobronchial segment and the oesophagus, theoretically decreasing the chance of recurrence as well as providing a robust blood supply to aid in healing. The split latissimus dorsi muscle flap is a well-suited flap for such repairs because of the ability to simultaneously cover two separate apertures (tracheobronchial and oesophageal). The authors describe the split latissimus dorsi muscle flap with step-by-step technique for repair of intrathoracic aerodigestive fistulas.</description><identifier>ISSN: 1443-9506</identifier><identifier>EISSN: 1444-2892</identifier><identifier>DOI: 10.1016/j.hlc.2014.12.166</identifier><identifier>PMID: 25697381</identifier><language>eng</language><publisher>Australia: Elsevier B.V</publisher><subject>Bronchial Fistula - pathology ; Bronchial Fistula - surgery ; Bronchus ; Cardiovascular ; Esophageal Fistula - pathology ; Esophageal Fistula - surgery ; Esophagus ; Fistula ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Patient Safety ; Reconstruction ; Reconstructive Surgical Procedures - methods ; Risk Assessment ; Superficial Back Muscles - surgery ; Superficial Back Muscles - transplantation ; Surgical Flaps - blood supply ; Surgical Flaps - transplantation ; Thoracotomy - methods ; Trachea ; Treatment Outcome</subject><ispartof>Heart, lung & circulation, 2015-06, Vol.24 (6), p.e75-e78</ispartof><rights>2015</rights><rights>Copyright © 2015. 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Division of the fistula with muscle flap interposition eliminates contact between the tracheobronchial segment and the oesophagus, theoretically decreasing the chance of recurrence as well as providing a robust blood supply to aid in healing. The split latissimus dorsi muscle flap is a well-suited flap for such repairs because of the ability to simultaneously cover two separate apertures (tracheobronchial and oesophageal). The authors describe the split latissimus dorsi muscle flap with step-by-step technique for repair of intrathoracic aerodigestive fistulas.</description><subject>Bronchial Fistula - pathology</subject><subject>Bronchial Fistula - surgery</subject><subject>Bronchus</subject><subject>Cardiovascular</subject><subject>Esophageal Fistula - pathology</subject><subject>Esophageal Fistula - surgery</subject><subject>Esophagus</subject><subject>Fistula</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Safety</subject><subject>Reconstruction</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Risk Assessment</subject><subject>Superficial Back Muscles - surgery</subject><subject>Superficial Back Muscles - transplantation</subject><subject>Surgical Flaps - blood supply</subject><subject>Surgical Flaps - transplantation</subject><subject>Thoracotomy - methods</subject><subject>Trachea</subject><subject>Treatment Outcome</subject><issn>1443-9506</issn><issn>1444-2892</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1v1DAQxSMEoh_wB3BBPnJogr_iJEJCKi0LlRaQ6N6tWWfSeHHs1E6QeuYfJ8sWVPXAaUaj9540v5dlrxgtGGXq7a7onSk4ZbJgvGBKPcmOmZQy53XDn_7ZRd6UVB1lJyntKGWVFM3z7IiXqqlEzY6zX9ejsxNZw2RTssOcyGWIyZIvczIOycrBSL7jCDaS0JFzczvbiO0Z-Rr8AM7eePDTGbnyU4SpDxGMNWSzjB4DpjD2cIPgCPiWfIjBm_7hdWXTNDtIL7JnHbiEL-_nabZZfdxcfM7X3z5dXZyvc1NKOeUSsBJdUwsuZQmyUQwkSgWmqmuK2JUNawC2VVlyaTphqBIVR6a2ICuklTjN3hxixxhuZ0yTHmwy6Bx4DHPSTNWiKmXd0EXKDlITQ0oROz1GO0C804zqPXq90wt6vUevGV-savG8vo-ftwO2_xx_WS-CdwcBLj_-tBh1Mha9wXZBaibdBvvf-PeP3MZZbw24H3iHaRfm6Bd4munENdXX--731bOSUiq5Er8BcB-qlw</recordid><startdate>20150601</startdate><enddate>20150601</enddate><creator>Hammoudeh, Ziyad S., MD</creator><creator>Gursel, Eti, MD</creator><creator>Baciewicz, Frank A., Jr., MD</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150601</creationdate><title>Split Latissimus Dorsi Muscle Flap Repair of Acquired, Nonmalignant, Intrathoracic Tracheoesophageal and Bronchoesophageal Fistulas</title><author>Hammoudeh, Ziyad S., MD ; Gursel, Eti, MD ; Baciewicz, Frank A., Jr., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c544t-4ae73f9832445a4961a4e46ac7880eef5919aab75524cf3c06372e16ba47e073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Bronchial Fistula - pathology</topic><topic>Bronchial Fistula - surgery</topic><topic>Bronchus</topic><topic>Cardiovascular</topic><topic>Esophageal Fistula - pathology</topic><topic>Esophageal Fistula - surgery</topic><topic>Esophagus</topic><topic>Fistula</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Safety</topic><topic>Reconstruction</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Risk Assessment</topic><topic>Superficial Back Muscles - surgery</topic><topic>Superficial Back Muscles - transplantation</topic><topic>Surgical Flaps - blood supply</topic><topic>Surgical Flaps - transplantation</topic><topic>Thoracotomy - methods</topic><topic>Trachea</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hammoudeh, Ziyad S., MD</creatorcontrib><creatorcontrib>Gursel, Eti, MD</creatorcontrib><creatorcontrib>Baciewicz, Frank A., Jr., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Heart, lung & circulation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hammoudeh, Ziyad S., MD</au><au>Gursel, Eti, MD</au><au>Baciewicz, Frank A., Jr., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Split Latissimus Dorsi Muscle Flap Repair of Acquired, Nonmalignant, Intrathoracic Tracheoesophageal and Bronchoesophageal Fistulas</atitle><jtitle>Heart, lung & circulation</jtitle><addtitle>Heart Lung Circ</addtitle><date>2015-06-01</date><risdate>2015</risdate><volume>24</volume><issue>6</issue><spage>e75</spage><epage>e78</epage><pages>e75-e78</pages><issn>1443-9506</issn><eissn>1444-2892</eissn><abstract>The development of a fistula between the tracheobronchial tree and oesophagus due to nonmalignant causes is uncommon. Division of the fistula with muscle flap interposition eliminates contact between the tracheobronchial segment and the oesophagus, theoretically decreasing the chance of recurrence as well as providing a robust blood supply to aid in healing. The split latissimus dorsi muscle flap is a well-suited flap for such repairs because of the ability to simultaneously cover two separate apertures (tracheobronchial and oesophageal). The authors describe the split latissimus dorsi muscle flap with step-by-step technique for repair of intrathoracic aerodigestive fistulas.</abstract><cop>Australia</cop><pub>Elsevier B.V</pub><pmid>25697381</pmid><doi>10.1016/j.hlc.2014.12.166</doi></addata></record> |
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subjects | Bronchial Fistula - pathology Bronchial Fistula - surgery Bronchus Cardiovascular Esophageal Fistula - pathology Esophageal Fistula - surgery Esophagus Fistula Follow-Up Studies Humans Male Middle Aged Patient Safety Reconstruction Reconstructive Surgical Procedures - methods Risk Assessment Superficial Back Muscles - surgery Superficial Back Muscles - transplantation Surgical Flaps - blood supply Surgical Flaps - transplantation Thoracotomy - methods Trachea Treatment Outcome |
title | Split Latissimus Dorsi Muscle Flap Repair of Acquired, Nonmalignant, Intrathoracic Tracheoesophageal and Bronchoesophageal Fistulas |
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