Fascia Temporalis Free Flap for Cricotracheal Reconstruction: a Novel Approach
Background The aim of tracheal reconstruction is to provide an airtight and noncollapsible airway covered with a suitable epithelial lining. To date, no ideal treatment is available for large tracheal defects. Methods We report 4 patients who underwent one-stage reconstruction for a cricotracheal st...
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| Veröffentlicht in: | The Annals of thoracic surgery 2017-09, Vol.104 (3), p.1040-1046 |
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| container_title | The Annals of thoracic surgery |
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| creator | Baujat, Bertrand, MD, PhD Struk, Samuel, MD Lesnik, Maria, MD, MS de Crouy Chanel, Olivier, MD, MS Barbut, Jonathan, MD Lefevre, Marine, MD Périé, Sophie, MD, PhD Lacau St. Guily, Jean, MD, PhD |
| description | Background The aim of tracheal reconstruction is to provide an airtight and noncollapsible airway covered with a suitable epithelial lining. To date, no ideal treatment is available for large tracheal defects. Methods We report 4 patients who underwent one-stage reconstruction for a cricotracheal stenosis with a free temporoparietal fascia flap and costal cartilage grafts. Results Closure of tracheostoma was achieved for all patients. The main advantage of this flap compared with the free radial forearm flap is that it supplies a more suitable lining allowing the reepithelialization process with respiratory epithelium. Conclusions This one-stage procedure provides a reliable construct to substitute for large tracheal defects, even in areas previously exposed to an operation or radiotherapy. |
| doi_str_mv | 10.1016/j.athoracsur.2017.02.078 |
| format | Article |
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To date, no ideal treatment is available for large tracheal defects. Methods We report 4 patients who underwent one-stage reconstruction for a cricotracheal stenosis with a free temporoparietal fascia flap and costal cartilage grafts. Results Closure of tracheostoma was achieved for all patients. The main advantage of this flap compared with the free radial forearm flap is that it supplies a more suitable lining allowing the reepithelialization process with respiratory epithelium. Conclusions This one-stage procedure provides a reliable construct to substitute for large tracheal defects, even in areas previously exposed to an operation or radiotherapy.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2017.02.078</identifier><identifier>PMID: 28577852</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Adult ; Aged ; Cardiothoracic Surgery ; Cricoid Cartilage - surgery ; Fascia - transplantation ; Female ; Follow-Up Studies ; Free Tissue Flaps ; Humans ; Microsurgery - methods ; Reconstructive Surgical Procedures - methods ; Retrospective Studies ; Surgery ; Trachea - surgery ; Tracheal Stenosis - surgery ; Treatment Outcome</subject><ispartof>The Annals of thoracic surgery, 2017-09, Vol.104 (3), p.1040-1046</ispartof><rights>The Society of Thoracic Surgeons</rights><rights>2017 The Society of Thoracic Surgeons</rights><rights>Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c479t-9cdb071362d2da3d5d175db57369851ca426d9f318129e88fb20aa46eed5d3be3</citedby><cites>FETCH-LOGICAL-c479t-9cdb071362d2da3d5d175db57369851ca426d9f318129e88fb20aa46eed5d3be3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28577852$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baujat, Bertrand, MD, PhD</creatorcontrib><creatorcontrib>Struk, Samuel, MD</creatorcontrib><creatorcontrib>Lesnik, Maria, MD, MS</creatorcontrib><creatorcontrib>de Crouy Chanel, Olivier, MD, MS</creatorcontrib><creatorcontrib>Barbut, Jonathan, MD</creatorcontrib><creatorcontrib>Lefevre, Marine, MD</creatorcontrib><creatorcontrib>Périé, Sophie, MD, PhD</creatorcontrib><creatorcontrib>Lacau St. Guily, Jean, MD, PhD</creatorcontrib><title>Fascia Temporalis Free Flap for Cricotracheal Reconstruction: a Novel Approach</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Background The aim of tracheal reconstruction is to provide an airtight and noncollapsible airway covered with a suitable epithelial lining. To date, no ideal treatment is available for large tracheal defects. Methods We report 4 patients who underwent one-stage reconstruction for a cricotracheal stenosis with a free temporoparietal fascia flap and costal cartilage grafts. Results Closure of tracheostoma was achieved for all patients. The main advantage of this flap compared with the free radial forearm flap is that it supplies a more suitable lining allowing the reepithelialization process with respiratory epithelium. Conclusions This one-stage procedure provides a reliable construct to substitute for large tracheal defects, even in areas previously exposed to an operation or radiotherapy.</description><subject>Adult</subject><subject>Aged</subject><subject>Cardiothoracic Surgery</subject><subject>Cricoid Cartilage - surgery</subject><subject>Fascia - transplantation</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Free Tissue Flaps</subject><subject>Humans</subject><subject>Microsurgery - methods</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Trachea - surgery</subject><subject>Tracheal Stenosis - surgery</subject><subject>Treatment Outcome</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1q3DAURkVpaaZJXyFo2Y1d_ViWlUUgHTJJIaTQpGshS9dEU43lSnYgbx8NkzTQVVdC6NzvQ-cihCmpKaHt121t5oeYjM1LqhmhsiasJrJ7h1ZUCFa1TKj3aEUI4VWjpDhCn3Lelisrzx_REeuElJ1gK3S7Mdl6g-9hN5XA4DPeJAC8CWbCQ0x4nbyNc6l6ABPwT7BxzHNa7OzjeIYNvo2PEPDFNKVYmBP0YTAhw-eX8xj92lzer6-rmx9X39cXN5VtpJorZV1PJOUtc8wZ7oSjUrheSN6qTlBrGtY6NXDaUaag64aeEWOaFqCgvAd-jL4cckvtnwXyrHc-WwjBjBCXrKkiLS0hqilod0BtijknGPSU_M6kJ02J3tvUW_1mU-9tasJ0sVlGT19aln4H7u_gq74CfDsAUP766CHpIhNGC84nsLN20f9Py_k_ITb40VsTfsMT5G1c0lhcaqpzGdB3-63ul0olJw1hjD8DfiSgMA</recordid><startdate>20170901</startdate><enddate>20170901</enddate><creator>Baujat, Bertrand, MD, PhD</creator><creator>Struk, Samuel, MD</creator><creator>Lesnik, Maria, MD, MS</creator><creator>de Crouy Chanel, Olivier, MD, MS</creator><creator>Barbut, Jonathan, MD</creator><creator>Lefevre, Marine, MD</creator><creator>Périé, Sophie, MD, PhD</creator><creator>Lacau St. Guily, Jean, MD, PhD</creator><general>Elsevier Inc</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>20170901</creationdate><title>Fascia Temporalis Free Flap for Cricotracheal Reconstruction: a Novel Approach</title><author>Baujat, Bertrand, MD, PhD ; Struk, Samuel, MD ; Lesnik, Maria, MD, MS ; de Crouy Chanel, Olivier, MD, MS ; Barbut, Jonathan, MD ; Lefevre, Marine, MD ; Périé, Sophie, MD, PhD ; Lacau St. Guily, Jean, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c479t-9cdb071362d2da3d5d175db57369851ca426d9f318129e88fb20aa46eed5d3be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cardiothoracic Surgery</topic><topic>Cricoid Cartilage - surgery</topic><topic>Fascia - transplantation</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Free Tissue Flaps</topic><topic>Humans</topic><topic>Microsurgery - methods</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Trachea - surgery</topic><topic>Tracheal Stenosis - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baujat, Bertrand, MD, PhD</creatorcontrib><creatorcontrib>Struk, Samuel, MD</creatorcontrib><creatorcontrib>Lesnik, Maria, MD, MS</creatorcontrib><creatorcontrib>de Crouy Chanel, Olivier, MD, MS</creatorcontrib><creatorcontrib>Barbut, Jonathan, MD</creatorcontrib><creatorcontrib>Lefevre, Marine, MD</creatorcontrib><creatorcontrib>Périé, Sophie, MD, PhD</creatorcontrib><creatorcontrib>Lacau St. Guily, Jean, MD, PhD</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>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baujat, Bertrand, MD, PhD</au><au>Struk, Samuel, MD</au><au>Lesnik, Maria, MD, MS</au><au>de Crouy Chanel, Olivier, MD, MS</au><au>Barbut, Jonathan, MD</au><au>Lefevre, Marine, MD</au><au>Périé, Sophie, MD, PhD</au><au>Lacau St. Guily, Jean, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fascia Temporalis Free Flap for Cricotracheal Reconstruction: a Novel Approach</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2017-09-01</date><risdate>2017</risdate><volume>104</volume><issue>3</issue><spage>1040</spage><epage>1046</epage><pages>1040-1046</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>Background The aim of tracheal reconstruction is to provide an airtight and noncollapsible airway covered with a suitable epithelial lining. To date, no ideal treatment is available for large tracheal defects. Methods We report 4 patients who underwent one-stage reconstruction for a cricotracheal stenosis with a free temporoparietal fascia flap and costal cartilage grafts. Results Closure of tracheostoma was achieved for all patients. The main advantage of this flap compared with the free radial forearm flap is that it supplies a more suitable lining allowing the reepithelialization process with respiratory epithelium. Conclusions This one-stage procedure provides a reliable construct to substitute for large tracheal defects, even in areas previously exposed to an operation or radiotherapy.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>28577852</pmid><doi>10.1016/j.athoracsur.2017.02.078</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adult Aged Cardiothoracic Surgery Cricoid Cartilage - surgery Fascia - transplantation Female Follow-Up Studies Free Tissue Flaps Humans Microsurgery - methods Reconstructive Surgical Procedures - methods Retrospective Studies Surgery Trachea - surgery Tracheal Stenosis - surgery Treatment Outcome |
| title | Fascia Temporalis Free Flap for Cricotracheal Reconstruction: a Novel Approach |
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