Fascia Temporalis Free Flap for Cricotracheal Reconstruction: A Novel Approach.

作者信息

Baujat Bertrand, Struk Samuel, Lesnik Maria, de Crouy Chanel Olivier, Barbut Jonathan, Lefevre Marine, Périé Sophie, Lacau St Guily Jean

机构信息

Head and Neck Surgery Department, Tenon Hospital, Paris, France; Department of Medicine, Paris VI University, Paris, France.

Head and Neck Surgery Department, Tenon Hospital, Paris, France.

出版信息

Ann Thorac Surg. 2017 Sep;104(3):1040-1046. doi: 10.1016/j.athoracsur.2017.02.078. Epub 2017 Jun 1.

DOI:10.1016/j.athoracsur.2017.02.078

PMID:28577852

Abstract

BACKGROUND

The aim of tracheal reconstruction is to provide an airtight and noncollapsible airway covered with a suitable epithelial lining. To date, no ideal treatment is available for large tracheal defects.

METHODS

We report 4 patients who underwent one-stage reconstruction for a cricotracheal stenosis with a free temporoparietal fascia flap and costal cartilage grafts.

RESULTS

Closure of tracheostoma was achieved for all patients. The main advantage of this flap compared with the free radial forearm flap is that it supplies a more suitable lining allowing the reepithelialization process with respiratory epithelium.

CONCLUSIONS

This one-stage procedure provides a reliable construct to substitute for large tracheal defects, even in areas previously exposed to an operation or radiotherapy.

摘要