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
Hauptverfasser: Hammoudeh, Ziyad S., MD, Gursel, Eti, MD, Baciewicz, Frank A., Jr., MD
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container_issue 6
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container_title Heart, lung & circulation
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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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source MEDLINE; Elsevier ScienceDirect Journals Complete
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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