Use of an autologous dermal flap and rib cartilage graft in the repair of a large tracheoesophageal fistula with tracheal stenosis

Management of large tracheoesophageal fistulas complicated by tracheal stenosis remains challenging as it requires an ideal replacement for the membranous defect as well as a permanent buttress to reconstruct the stenotic segment. We present the successful use of an autologous free dermal flap reinf...

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Veröffentlicht in:Interdisciplinary cardiovascular and thoracic surgery 2023-08, Vol.37 (2)
Hauptverfasser: Dai, Jie, He, Wenxin, Liu, Xiaogang, Jiang, Gening
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container_title Interdisciplinary cardiovascular and thoracic surgery
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creator Dai, Jie
He, Wenxin
Liu, Xiaogang
Jiang, Gening
description Management of large tracheoesophageal fistulas complicated by tracheal stenosis remains challenging as it requires an ideal replacement for the membranous defect as well as a permanent buttress to reconstruct the stenotic segment. We present the successful use of an autologous free dermal flap reinforced with a pedicled pectoralis major muscle to repair the tracheal membranous wall and a rib cartilage graft to enlarge the tracheal lumen. Surgical treatment provides the best chance of cure for acquired tracheoesophageal fistulas (TEF), and numerous operative techniques have been reported [1, 2].
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title Use of an autologous dermal flap and rib cartilage graft in the repair of a large tracheoesophageal fistula with tracheal stenosis
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