采用预制胸大肌皮瓣闭合气管食管瘘。
Closure of tracheoesophageal fistula with prefabricated deltopectoral flap.
作者信息
Murono Shigeyuki, Ishikawa Eriko, Nakanishi Yosuke, Endo Kazuhira, Kondo Satoru, Wakisaka Naohiro, Yoshizaki Tomokazu
机构信息
Department of Otolaryngology, Head and Neck Surgery, School of Medicine, Kanazawa University, Kanazawa, Ishikawa, Japan.
Department of Otolaryngology, Head and Neck Surgery, School of Medicine, Kanazawa University, Kanazawa, Ishikawa, Japan.
出版信息
Asian J Surg. 2016 Oct;39(4):243-6. doi: 10.1016/j.asjsur.2014.01.003. Epub 2014 Mar 25.
Tracheoesophageal fistula (TEF) is a serious complication associated with impaired quality of life. However, a successful TEF closure is difficult owing to the high incidence of recurrence. We utilized a prefabricated deltopectoral (DP) flap for closure of a TEF that occurred after an extended total thyroidectomy. Prefabrication of the inner soft tissue lining the DP flap with a split skin graft was performed prior to surgical closure of a TEF. Esophageal and tracheal mucosa were sutured to the split thickness side and full thickness side of the prefabricated DP flap, respectively. A successful closure of the fistula was achieved with this procedure. Prefabricated DP flap is a useful procedure for the surgical treatment of TEF.
气管食管瘘（TEF）是一种与生活质量受损相关的严重并发症。然而，由于复发率高，成功闭合TEF具有挑战性。我们采用预制胸大肌皮瓣（DP瓣）来闭合在扩大全甲状腺切除术后出现的TEF。在手术闭合TEF之前，用中厚皮片对DP瓣内衬的内部软组织进行预制。分别将食管和气管黏膜缝合至预制DP瓣的中厚侧和全厚侧。通过该手术成功闭合了瘘管。预制DP瓣是治疗TEF的一种有效手术方法。
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