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) |
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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]. |
doi_str_mv | 10.1093/icvts/ivad130 |
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subjects | Thoracic Non-oncology |
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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