Hammoudeh Ziyad S, Gursel Eti, Baciewicz Frank A
Department of Surgery, Wayne State University, Detroit, USA.
Division of Plastic Surgery, Wayne State University, Detroit, USA.
Heart Lung Circ. 2015 Jun;24(6):e75-8. doi: 10.1016/j.hlc.2014.12.166. Epub 2015 Jan 28.
The development of a fistula between the tracheobronchial tree and oesophagus due to nonmalignant causes is uncommon. Division of the fistula with muscle flap interposition eliminates contact between the tracheobronchial segment and the oesophagus, theoretically decreasing the chance of recurrence as well as providing a robust blood supply to aid in healing. The split latissimus dorsi muscle flap is a well-suited flap for such repairs because of the ability to simultaneously cover two separate apertures (tracheobronchial and oesophageal). The authors describe the split latissimus dorsi muscle flap with step-by-step technique for repair of intrathoracic aerodigestive fistulas.
由非恶性原因导致的气管支气管树与食管之间瘘管的形成并不常见。采用带肌瓣置入的瘘管分离术可消除气管支气管段与食管之间的接触，理论上可降低复发几率，并提供充足的血供以促进愈合。背阔肌劈开肌瓣是一种非常适合此类修复的肌瓣，因为它能够同时覆盖两个独立的开口（气管支气管和食管）。作者描述了采用背阔肌劈开肌瓣并逐步进行修复胸内气消化道瘘的技术。
