Department of Plastic and Reconstructive Surgery, Oda Hospital, Kashima.
Department of Plastic and Reconstructive Surgery and Maxillofacial Surgery, Kurume University School of Medicine.
J Craniofac Surg. 2022 May 1;33(3):913-915. doi: 10.1097/SCS.0000000000008046. Epub 2021 Jul 29.
Following a tracheostomy or tracheal fenestration procedure, neck concave deformity, and contracture after spontaneous closure are common problems. Since the neck is an exposed part of the body, its concave deformity can cause cosmetic problems and functional problems such as difficulty in neck extension and swallowing due to contracture. We report the case of a 63-year-old man who underwent tracheal fenestration for worsening respiratory status due to sepsis after aspiration pneumonia. After spontaneous closure of the tracheal fenestration, the patient developed a deformity of the neck, impaired neck extension, and dysphagia due to contracture. In this case, the submental sagging skin was used as a subcutaneous pedicle flap to correct the problem, and the result was both functionally and cosmetically satisfactory. We found that the submandibular skin could be used as a random pattern flap for reconstruction of the lower half of the neck. Therefore, this procedure can be an effective method for reconstruction around the tracheal stoma in the future.
经气管造口术或气管开窗术后，颈部凹陷畸形和自发性闭合后的挛缩是常见的问题。由于颈部是身体暴露的部位，其凹陷畸形可导致美容问题和功能问题，如因挛缩导致颈部伸展和吞咽困难。我们报告了一例 63 岁男性患者，因吸入性肺炎导致败血症后呼吸状况恶化而行气管开窗术。气管开窗术后自发性关闭后，患者出现颈部畸形、颈部伸展受限和因挛缩导致的吞咽困难。在这种情况下，我们使用颏下松弛皮肤作为皮下蒂皮瓣来纠正问题，结果在功能和美容上都令人满意。我们发现，下颌皮肤可以作为颈下半部重建的随意皮瓣。因此，该手术将来可能成为气管造口周围重建的有效方法。
