Simultaneous tracheal and esophageal reconstruction for thyroid cancer involving trachea and esophagus using a free bipaddled posterior tibial artery perforator flap

被引：18

作者：

Liu, Jun ^{[1
]}

Ren, Jianjun ^{[1
]}

Lv, Dan ^{[1
]}

Wang, Ji ^{[1
]}

Deng, Di ^{[1
]}

Li, Linke ^{[1
]}

Wang, Haiyang ^{[1
]}

Chen, Fei ^{[1
]}

机构：

[1] Sichuan Univ, West China Hosp, Dept Otorhinolaryngol Head & Neck Surg, Chengdu 610041, Sichuan, Peoples R China

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2019年 / 41卷 / 09期

关键词：

esophageal reconstruction; free bipaddled posterior tibial artery perforator flap; simultaneous reconstruction; thyroid cancer; tracheal reconstruction; CARCINOMA; MANAGEMENT; HEAD;

D O I：

10.1002/hed.25850

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Background Simultaneous tracheal and esophageal reconstruction after tumor resection is a great challenge. Here we present an innovative operative technique to simultaneously reconstruct tracheal and esophageal defects, in which a free posterior tibial artery perforator flap was made into a free bipaddled flap to cover both tracheal and esophageal defects. Methods A free bipaddled posterior tibial artery perforator flap was utilized to conduct simultaneous tracheal and esophageal reconstruction for a 72-year-old female patient with papillary thyroid carcinoma and massive trachea and esophagus invasion, who underwent radical resection. Results Satisfactory breathing and swallowing functions were gained independent of nasal feeding and tracheotomy. Voice was still hoarse due to tumor invasion of left recurrent laryngeal nerve. During a period of 2-year follow-up, no sign of tumor recurrence was observed. Conclusion A free bipaddled posterior tibial artery perforator flap could be a decent choice for simultaneous reconstruction of large tracheal and esophageal defects.

引用

页码：3472 / 3477

页数：6

共 11 条

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