Kashiyama Kazuya, Eisaku Takahara, Yurie Oshiro
Department of Plastic and Reconstructive Surgery, Nagasaki University Hospital, Nagasaki, Japan.
Department of Plastic Surgery, Maxillofacial Surgery, Aesthetic Surgery, Yuaikai Tomishiro Central Hospital, Okinawa, Japan.
Respir Med Case Rep. 2019 Sep 16;28:100934. doi: 10.1016/j.rmcr.2019.100934. eCollection 2019.
Various complications associated with tracheal stomas have been reported, including mechanical trauma to the peristomal skin, infection, folliculitis, granuloma, and fistula. Among them, a tracheocutaneous fistula generally requires surgical repair. A number of methods have been reported for reconstruction of fistulas using musculocutaneous flaps or free flaps. However, those surgical techniques are all designed for complete close of the tracheocutaneous fistula and stoma, while partial closure of the stoma around the indwelling tracheal tube is not well described in the literature. We report on the use of a rhomboid flap for partial closure of a tracheal stoma. The rhomboid flap is a local flap that is frequently used by plastic surgeons because of its broad applications and not being very invasive. This is a low invasive and simple technique for partial closure of an excessively enlarged stoma.
已有报道称气管造口会引发多种并发症，包括造口周围皮肤的机械性创伤、感染、毛囊炎、肉芽肿和瘘管。其中，气管皮肤瘘通常需要手术修复。已有多种使用肌皮瓣或游离皮瓣重建瘘管的方法被报道。然而，这些手术技术均旨在完全闭合气管皮肤瘘和造口，而文献中对于气管插管周围造口的部分闭合描述甚少。我们报告了使用菱形皮瓣对气管造口进行部分闭合的情况。菱形皮瓣是一种局部皮瓣，因其应用广泛且侵袭性较小，常被整形外科医生使用。这是一种用于部分闭合过度扩大造口的低侵袭性且简单的技术。
