Back to Search
Start Over
Tracheoesophageal fistula and pharyngoesophageal stenosis repair by double skin paddle radial forearm flap.
- Source :
- European Annals of Otorhinolaryngology, Head & Neck Diseases; Oct2022, Vol. 139 Issue 5, p297-300, 4p
- Publication Year :
- 2022
-
Abstract
- Tracheoesophageal fistula (TEF) constitutes a rare, but serious complication in laryngectomized patients, usually occurring after radiotherapy. TEF may occur spontaneously or may be due to enlargement of the TEF created for placement of a voice prosthesis. Surgical treatment of TEF can be complex, especially in the presence of a concomitant pharyngoesophageal stenosis (PES), and is associated with a high failure rate. In this article, we describe the surgical reconstruction technique for TEF associated with PES using a double skin paddle fasciocutaneous radial forearm free flap. The key points of this technique consist of correct positioning of the 2 skin paddles in order to reconstruct the anterior pharyngoesophageal wall and posterior tracheal wall, as well as de-epidermization of the intermediate part of the flap, which is then placed in the tracheoesophageal space. [ABSTRACT FROM AUTHOR]
- Subjects :
- TRACHEAL fistula
PLASTIC surgery
FOREARM
STENOSIS
FREE flaps
Subjects
Details
- Language :
- English
- ISSN :
- 18797296
- Volume :
- 139
- Issue :
- 5
- Database :
- Supplemental Index
- Journal :
- European Annals of Otorhinolaryngology, Head & Neck Diseases
- Publication Type :
- Academic Journal
- Accession number :
- 159415837
- Full Text :
- https://doi.org/10.1016/j.anorl.2021.09.002