Tracheoesophageal fistula and pharyngoesophageal stenosis repair by double skin paddle radial forearm flap.
Double skin paddle
Pharyngoesophageal stenosis
Radial forearm free flap
Total laryngectomy
Tracheoesophageal fistula
Journal
European annals of otorhinolaryngology, head and neck diseases
ISSN: 1879-730X
Titre abrégé: Eur Ann Otorhinolaryngol Head Neck Dis
Pays: France
ID NLM: 101531465
Informations de publication
Date de publication:
Oct 2022
Oct 2022
Historique:
pubmed:
18
9
2021
medline:
5
10
2022
entrez:
17
9
2021
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 34531167
pii: S1879-7296(21)00203-9
doi: 10.1016/j.anorl.2021.09.002
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
297-300Informations de copyright
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