Repair of a defect in the cervical trachea with thyroid-pericardium flap

Xie, Hui; Zhang, Yuqian; Yu, Fei; Wang, Xiang

doi:10.1097/md.0000000000017871

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…In the clinic, a common way to reconstruct tracheal defects is via self-tissue. Due to their relatively simple preparation, high survival rate, and limited complications, self-tissue methods such as the use of pericardium flaps, autologous tissues, and flaps with autologous cartilage can be used to reconstruct defects [ 6 , 7 ]. Flaps represent one of the common reconstruction methods, but there are many types of flaps.…”

Section: Introductionmentioning

confidence: 99%

Clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction

Deng

Liu

et al. 2020

BMC Surg

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Background Large or complex trachea defects often require some tissue to reconstruct, various flaps have been reported for reconstructing this defect. However, pedicled thoracoacromial artery perforator flap have not been reported in tracheal reconstruction. Therefore, this study is to assess the efficacy and clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction. Methods Eight patients who underwent tracheal reconstructions with pedicled TAAP flaps between December 2017 and October 2019 were retrospectively reviewed. Results All of the pedicled TAAP flaps in our study survived. The flap size ranged from 2 cm × 5 cm to 4 cm × 10 cm, and the size of each island of one double-island flap was 2 cm × 2.5 cm. The mean thickness was 0.6 cm, and the pedicle length varied between 6 and 9 cm (mean 7.9 cm). The mean time of flap harvest was 17 min. The mean age of the patients was 62.4 years and five elderly patients had comorbidities, such as diabetes, hypertension and asthma. One patient received a double-island flap for tracheal and esophageal reconstruction, and the other patient received simple tracheal reconstruction. One patient died due to cancer metastasis. Six patients obtained functional recovery of breathing, except one patients who did not experience closure of the tracheostomy opening due to uncompleted I131 treatment. Conclusion Pedicled TAAP flaps provide a short harvesting time, thin thickness and stable blood supply, and they do not require microsurgical skills. This flap is a good choice for the reconstruction of tracheal defects, especially in the aged or patients with comorbidities who are not able to tolerate prolonged surgery.

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Section: Introductionmentioning

confidence: 99%

Clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction

Deng

Liu

et al. 2020

BMC Surg

View full text Add to dashboard Cite

show abstract

“…In the clinic, a common way to reconstruct tracheal defects is via self-tissue. Due to their relatively simple preparation, high survival rate, and limited complications, self-tissue methods such as the use of pericardium aps, autologous tissues, and aps with autologous cartilage can be used to reconstruct defects [6,7] . Flaps represent one of the common reconstruction methods, but there are many types of aps.…”

Section: Introductionmentioning

confidence: 99%

Clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction

Deng

Liu

et al. 2020

Preprint

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Background Large or complex trachea defects often require some tissue to reconstruct,various flaps have been reported for reconstructing this defect.However, pedicled thoracoacromial artery perforator flap have not been reported in tracheal reconstruction.Therefore,this study is to assess the efficacy and clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction. Methods Eight patients who underwent tracheal reconstructions with pedicled TAAP flaps between December 2017 and October 2019 were retrospectively reviewed. Results All of the pedicled TAAP flaps in our study survived. The flap size ranged from 5 cm by 2 cm to 4 cm by 10 cm, and the size of each island of one double-island flap was 2.5 cm by 2 cm. The mean thickness was 0.6 cm, and the pedicle length varied between 6 cm and 9 cm (mean 7.9 cm). The mean time of flap harvest was 17 min. The mean age of the patients was 62.4 years and five elderly patients had comorbidities,such as diabetes,hypertension and asthma. One patient received a double-island flap for tracheal and esophageal reconstruction, and the other patient received simple tracheal reconstruction. One patient died due to cancer metastasis.Six patients obtained functional recovery of breathing, except one patients who did not experience closure of the tracheostomy opening due to uncompleted I131 treatment. Conclusion Pedicled TAAP flaps provide a hairless inner lining, short harvesting time, thin thickness and stable blood supply, and they do not require microsurgical skills. This flap is a good choice for the reconstruction of tracheal defects,especially in the aged or patients with comorbidities who are not able to tolerate prolonged surgery.

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Topical Issues of Surgical Treatment of Cicatricial Tracheal Stenosis

Ivanyuk,

Kotiv,

Dzidzava

et al. 2023

Vrach

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Advances in surgery make it possible to successfully treat seriously ill patients who are on prolonged artificial lung ventilation. As a result of a combination of ischemia, trauma and infection of the tracheal mucosa due to chronic inflammation, the normal structures of its wall are replaced by fibrous tissue, which is manifested by narrowing of the tracheal lumen with the development of progressive suffocation. Despite the studies conducted, the mechanism and timing of the formation of a chronic inflammatory reaction and a fibrous process in the affected area and peripheral bronchopulmonary structures in various variants of post-intubation tracheal complications are not sufficiently disclosed. One of the most important areas in tracheal surgery is ensuring the safety of operations in order to reduce the number of postoperative complications and mortality. This applies both to simultaneous radical operations and stage-by-stage interventions, as well as to new intra-light technologies. The advantage of cicatricial tracheal stenosis is the possibility of preserving the pathologically altered tracheal wall for the formation of the respiratory tract, unlike oncological practice. Further development of tracheal surgery directly depends on the introduction of preventive measures and analysis of adverse factors associated with an increased risk of complications. An integrated approach to the prevention, treatment and rehabilitation of patients with cicatricial tracheal stenosis allows us to develop personalized tactics aimed at improving the effectiveness of treatment and achieving full rehabilitation of each patient. We believe that the research conducted in this field of science is promising.

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Repair of a defect in the cervical trachea with thyroid-pericardium flap

Cited by 3 publications

References 9 publications

Clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction

Clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction

Clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction

Topical Issues of Surgical Treatment of Cicatricial Tracheal Stenosis

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