Use of the extended pectoralis major myocutaneous flap as a wrap-around for mediastinal tracheal repair

Summary: Persistent tracheoesophageal fistulas requiring flap repair of the trachea in the mediastinum are uncommon. A 44-year-old man developed a 5 cm x 2 cm persistent posterior tracheal defect after failed tracheo-esophageal fistula repair. The defect was patch repaired using the de-epithelialize...

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Autores principales:	Grace Hui-Min Tan, (MRCS), Boon-Hean Ong, (FRCSEdTh), Yee-Onn Kok, (MRCS), Bien-Keem Tan, (FRCS)
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Tracheo-esophageal fistula mediastinal tracheal defect flap repair pectoralis major myocutaneous flap Surgery RD1-811
Acceso en línea:	https://doaj.org/article/653a5c8e38ce44aa993f1245c5a8ca15
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spelling	oai:doaj.org-article:653a5c8e38ce44aa993f1245c5a8ca152021-12-02T05:02:04ZUse of the extended pectoralis major myocutaneous flap as a wrap-around for mediastinal tracheal repair2352-587810.1016/j.jpra.2021.07.009https://doaj.org/article/653a5c8e38ce44aa993f1245c5a8ca152021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S235258782100070Xhttps://doaj.org/toc/2352-5878Summary: Persistent tracheoesophageal fistulas requiring flap repair of the trachea in the mediastinum are uncommon. A 44-year-old man developed a 5 cm x 2 cm persistent posterior tracheal defect after failed tracheo-esophageal fistula repair. The defect was patch repaired using the de-epithelialized skin paddle of an extended pectoralis major flap tunneled into the mediastinum. The use of cross-field ventilation, second rib removal and an anterior tracheostomy slit were crucial for posterior tracheal repair. No major complication occurred. The patch repair with the de-epithelialized skin paddle of pectoralis major flap mucosalized in 2 weeks and the patient was discharged one month postoperatively. The extended skin paddle of the pectoralis major flap was a useful method for tracheal wrap-around reconstruction.Grace Hui-Min Tan, (MRCS)Boon-Hean Ong, (FRCSEdTh)Yee-Onn Kok, (MRCS)Bien-Keem Tan, (FRCS)ElsevierarticleTracheo-esophageal fistulamediastinal tracheal defectflap repairpectoralis major myocutaneous flapSurgeryRD1-811ENJPRAS Open, Vol 30, Iss , Pp 133-137 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Tracheo-esophageal fistula mediastinal tracheal defect flap repair pectoralis major myocutaneous flap Surgery RD1-811
spellingShingle	Tracheo-esophageal fistula mediastinal tracheal defect flap repair pectoralis major myocutaneous flap Surgery RD1-811 Grace Hui-Min Tan, (MRCS) Boon-Hean Ong, (FRCSEdTh) Yee-Onn Kok, (MRCS) Bien-Keem Tan, (FRCS) Use of the extended pectoralis major myocutaneous flap as a wrap-around for mediastinal tracheal repair
description	Summary: Persistent tracheoesophageal fistulas requiring flap repair of the trachea in the mediastinum are uncommon. A 44-year-old man developed a 5 cm x 2 cm persistent posterior tracheal defect after failed tracheo-esophageal fistula repair. The defect was patch repaired using the de-epithelialized skin paddle of an extended pectoralis major flap tunneled into the mediastinum. The use of cross-field ventilation, second rib removal and an anterior tracheostomy slit were crucial for posterior tracheal repair. No major complication occurred. The patch repair with the de-epithelialized skin paddle of pectoralis major flap mucosalized in 2 weeks and the patient was discharged one month postoperatively. The extended skin paddle of the pectoralis major flap was a useful method for tracheal wrap-around reconstruction.
format	article
author	Grace Hui-Min Tan, (MRCS) Boon-Hean Ong, (FRCSEdTh) Yee-Onn Kok, (MRCS) Bien-Keem Tan, (FRCS)
author_facet	Grace Hui-Min Tan, (MRCS) Boon-Hean Ong, (FRCSEdTh) Yee-Onn Kok, (MRCS) Bien-Keem Tan, (FRCS)
author_sort	Grace Hui-Min Tan, (MRCS)
title	Use of the extended pectoralis major myocutaneous flap as a wrap-around for mediastinal tracheal repair
title_short	Use of the extended pectoralis major myocutaneous flap as a wrap-around for mediastinal tracheal repair
title_full	Use of the extended pectoralis major myocutaneous flap as a wrap-around for mediastinal tracheal repair
title_fullStr	Use of the extended pectoralis major myocutaneous flap as a wrap-around for mediastinal tracheal repair
title_full_unstemmed	Use of the extended pectoralis major myocutaneous flap as a wrap-around for mediastinal tracheal repair
title_sort	use of the extended pectoralis major myocutaneous flap as a wrap-around for mediastinal tracheal repair
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/653a5c8e38ce44aa993f1245c5a8ca15
work_keys_str_mv	AT gracehuimintanmrcs useoftheextendedpectoralismajormyocutaneousflapasawraparoundformediastinaltrachealrepair AT boonheanongfrcsedth useoftheextendedpectoralismajormyocutaneousflapasawraparoundformediastinaltrachealrepair AT yeeonnkokmrcs useoftheextendedpectoralismajormyocutaneousflapasawraparoundformediastinaltrachealrepair AT bienkeemtanfrcs useoftheextendedpectoralismajormyocutaneousflapasawraparoundformediastinaltrachealrepair
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Use of the extended pectoralis major myocutaneous flap as a wrap-around for mediastinal tracheal repair

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