Division of Cardiothoracic Surgery, Department of Otolaryngology, University of California, Davis Medical Center, Sacramento, California 95817, USA.
Ann Thorac Surg. 2012 Aug;94(2):e37-8. doi: 10.1016/j.athoracsur.2012.01.055. Epub 2012 May 10.
The repair of nonmalignant postlaryngectomy pharyngotracheal fistulae is not commonly encountered in medical literature. This rare complication can occur years after laryngectomy for cancer and reconstruction of a neopharynx, and is often associated with adjuvant radiation to the area, making the choice of method for surgical repair critical for success. Optimally, a pedicled myofascial flap from the pectoralis major muscle, from outside the field of radiation, is used to reinforce the repair of the fistula. We present 2 rare cases.
非恶性喉切除术后咽气管瘘的修复在医学文献中并不常见。这种罕见的并发症可在癌症和新咽部重建后的多年后发生，并且通常与该区域的辅助放疗有关，因此手术修复方法的选择对于成功至关重要。理想情况下，从胸大肌外侧的带蒂肌筋膜瓣（未受辐射影响的区域）用于加强瘘管的修复。我们报告了 2 例罕见病例。
