游离前臂皮瓣联合游离肋软骨移植一期重建气管缺损。

One-stage reconstruction of a tracheal defect with a free radial forearm flap and free costal cartilage grafts.

机构信息

Department of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, Kashiwa, Chiba 277-8577, Japan.

Department of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, Kashiwa, Chiba 277-8577, Japan; Department of Plastic and Reconstructive Surgery, National Cancer Center Hospital, 5-1-1, Tsukiji, Chuo-ku, Tokyo 104-0045, Japan.

出版信息

J Plast Reconstr Aesthet Surg. 2014 Jun;67(6):857-9. doi: 10.1016/j.bjps.2013.12.053. Epub 2014 Jan 8.

DOI:10.1016/j.bjps.2013.12.053

PMID:24476705

Abstract

Reconstructing the trachea is challenging because of its multilayer structure and airway function; multiple procedures are often required. We report a case of one-stage reconstruction for a tracheal defect. The surgery was performed with a free radial forearm flap and free costal cartilage grafts. Air leakage occurred postoperatively but healed without additional surgery. The reconstructed trachea has retained its shape, diameter and airway function for 14 months despite the patient's history of radiotherapy. This one-stage procedure with well-vascularised tissue was successfully used to reconstruct a stable, well-functioning trachea.

摘要

重建气管具有挑战性，因为它具有多层结构和气道功能；通常需要进行多次手术。我们报告了一例气管缺损的一期重建病例。手术采用游离前臂桡侧皮瓣和游离肋软骨移植。术后发生漏气，但未经进一步手术即愈合。尽管患者有放疗史，但重建的气管在 14 个月内仍保持其形状、直径和气道功能。该一期手术采用血运良好的组织成功地重建了一个稳定、功能良好的气管。