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Reconstruction of expanding tracheoesophageal fistulae in post-radiation therapy patients who undergo total laryngectomy with a bipaddled radial forearm free flap: Report of 8 cases.
Dewey, Eliza H; Castro, Jerry R; Mojica, Jacqueline; Lazarus, Cathy L; Su, Henry K; Alpert, Erin H; Dos Reis, Laura L; Urken, Mark L.
Afiliación
  • Dewey EH; Thyroid Head and Neck Cancer (THANC) Foundation, New York, New York.
  • Castro JR; Department of Head and Neck - Otolaryngology, Mount Sinai Beth Israel, New York, New York.
  • Mojica J; Department of Head and Neck - Otolaryngology, Mount Sinai Beth Israel, New York, New York.
  • Lazarus CL; Thyroid Head and Neck Cancer (THANC) Foundation, New York, New York.
  • Su HK; Thyroid Head and Neck Cancer (THANC) Foundation, New York, New York.
  • Alpert EH; Thyroid Head and Neck Cancer (THANC) Foundation, New York, New York.
  • Dos Reis LL; Thyroid Head and Neck Cancer (THANC) Foundation, New York, New York.
  • Urken ML; Department of Head and Neck - Otolaryngology, Mount Sinai Beth Israel, New York, New York.
Head Neck ; 38 Suppl 1: E172-8, 2016 04.
Article en En | MEDLINE | ID: mdl-25545827
BACKGROUND: Our surgical approach describes a bipaddled radial forearm free flap (RFFF) for closure of chronic tracheoesophageal fistulae (TEF) in patients who underwent total laryngectomy. The desired functional results were achieved. METHODS: Eight patients underwent the procedure. The surgical approach includes exposure and resection of the fistula tract, and a bipaddled RFFF transfer. Key surgical maneuvers include: circumferential dissection and mobilization of the trachea; partial sternal resection in select cases; inset of flap's distal paddle into the anterior esophageal wall; and inset of the proximal skin paddle to the posterior tracheal wall and cervical skin. RESULTS: Successful reconstruction of all 8 cases was done to restore a normal diet and a widely patent tracheal opening. One patient developed a delayed esophageal stricture, which was successfully managed with home dilation. CONCLUSION: Several TEF treatment approaches have been reported. Our 87.5% esophageal lumen preservation success rate, reestablishment of adequate airway, and uncomplicated postoperative courses demonstrates the reliability of this surgical approach. © 2015 Wiley Periodicals, Inc. Head Neck 38: E172-E178, 2016.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fístula Traqueoesofágica / Colgajos Tisulares Libres / Antebrazo / Laringectomía Límite: Humans Idioma: En Revista: Head Neck Asunto de la revista: NEOPLASIAS Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fístula Traqueoesofágica / Colgajos Tisulares Libres / Antebrazo / Laringectomía Límite: Humans Idioma: En Revista: Head Neck Asunto de la revista: NEOPLASIAS Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos