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使用延长的胸大肌肌皮瓣作为纵隔气管修复的包绕物。

Use of the extended pectoralis major myocutaneous flap as a wrap-around for mediastinal tracheal repair.

作者信息

Tan Grace Hui-Min, Ong Boon-Hean, Kok Yee-Onn, Tan Bien-Keem

机构信息

Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital.

Department of Cardiothoracic Surgery, National Heart Centre Singapore.

出版信息

JPRAS Open. 2021 Aug 11;30:133-137. doi: 10.1016/j.jpra.2021.07.009. eCollection 2021 Dec.

DOI:10.1016/j.jpra.2021.07.009
PMID:34568533
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8449021/
Abstract

Persistent tracheoesophageal fistulas requiring flap repair of the trachea in the mediastinum are uncommon. A 44-year-old man developed a 5 cm x 2 cm persistent posterior tracheal defect after failed tracheo-esophageal fistula repair. The defect was patch repaired using the de-epithelialized skin paddle of an extended pectoralis major flap tunneled into the mediastinum. The use of cross-field ventilation, second rib removal and an anterior tracheostomy slit were crucial for posterior tracheal repair. No major complication occurred. The patch repair with the de-epithelialized skin paddle of pectoralis major flap mucosalized in 2 weeks and the patient was discharged one month postoperatively. The extended skin paddle of the pectoralis major flap was a useful method for tracheal wrap-around reconstruction.

摘要

需要在纵隔内进行气管瓣修复的持续性气管食管瘘并不常见。一名44岁男性在气管食管瘘修复失败后出现了一个5厘米×2厘米的持续性气管后壁缺损。使用经隧道进入纵隔的胸大肌扩展皮瓣的去上皮化皮片进行补片修复。采用交叉野通气、切除第二肋和前部气管造口切口对气管后壁修复至关重要。未发生重大并发症。胸大肌皮瓣去上皮化皮片的补片修复在2周内黏膜化，患者术后1个月出院。胸大肌扩展皮瓣是一种用于气管环绕重建的有效方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff1/8449021/0b36f0677313/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff1/8449021/1a5e7adcda55/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff1/8449021/907abe014975/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff1/8449021/78dec97f25c3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff1/8449021/0b36f0677313/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff1/8449021/1a5e7adcda55/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff1/8449021/907abe014975/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff1/8449021/78dec97f25c3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ff1/8449021/0b36f0677313/gr4.jpg

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本文引用的文献

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Ann Am Thorac Soc. 2017 Jul;14(7):1224-1226. doi: 10.1513/AnnalsATS.201611-937CC.
2
A novel surgical method for acquired non-malignant complicated tracheoesophageal and bronchial-gastric stump fistula: the "double patch" technique.一种治疗后天性非恶性复杂性气管食管瘘和支气管胃残端瘘的新型手术方法：“双补片”技术。
J Thorac Dis. 2016 Nov;8(11):3225-3231. doi: 10.21037/jtd.2016.11.80.
3
A novel technique to increase the length of tracheal resection by adding an autologous pedicled pectoralis major myocutaneous flap transposition.
一种通过添加自体带蒂胸大肌肌皮瓣移位来增加气管切除长度的新技术。
Ann Thorac Surg. 2014 Dec;98(6):2236-8. doi: 10.1016/j.athoracsur.2014.05.096. Epub 2014 Dec 1.
4
Reconstruction of a complex tracheal injury using an intercostal muscle flap.使用肋间肌瓣重建复杂的气管损伤。
Ann Thorac Surg. 2014 Feb;97(2):679-81. doi: 10.1016/j.athoracsur.2013.05.115.
5
Novel method to repair tracheal defect by pectoralis major myocutaneous flap.用胸大肌肌皮瓣修复气管缺损的新方法。
Ann Thorac Surg. 2009 Jul;88(1):288-91. doi: 10.1016/j.athoracsur.2008.11.030.
6
The vascular territories (angiosomes) of the body: experimental study and clinical applications.人体的血管区域（血管体）：实验研究与临床应用。
Br J Plast Surg. 1987 Mar;40(2):113-41. doi: 10.1016/0007-1226(87)90185-8.
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The extended pectoralis major myocutaneous flap: uses and indications.胸大肌肌皮瓣的扩展：应用与适应证
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