Using a Sternocleidomastoid Muscle Flap to Close an Iatrogenic Tracheoesophageal Fistula in a Patient With Advanced Laryngeal Cancer A Case Report and Literature Review

被引：9

作者：

Chuang, Fu-Chieh ^{[1
]}

Tung, Kwang-Yi ^{[1
]}

Huang, Wen-Chen ^{[1
]}

Yu, Chia-Meng ^{[1
]}

Yao, Wen-Teng ^{[1
]}

机构：

[1] Mackay Mem Hosp, Dept Plast Surg, 92,Sec 2,Zhongshan N Rd, Taipei 104, Taiwan

来源：

ANNALS OF PLASTIC SURGERY | 2019年 / 82卷

关键词：

sternocleidomastoid muscle flap; tracheoesophageal fistula; TRANSPOSITION; LEAKAGE;

D O I：

10.1097/SAP.0000000000001718

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: An iatrogenic tracheoesophageal (TE) fistula is one possible complication after total laryngectomy with flap reconstruction. We used sternocleidomastoid (SCM) rotation flap to close a TE fistula. Methods and Results: A 69-year-old man with laryngeal cancer underwent total laryngectomy with radial forearm free flap reconstruction. A tracheostoma stenosis was noticed 7 months after the tracheostomy tube was removed. The patient underwent tracheostoma dilatation; the iatrogenic TE fistulawas noticed 1 month later. We used SCMrotation flap to close the TE fistula. The postoperative course was uneventful. A barium esophagogram showed no leakage in the esophagus. Conclusions: Tracheoesophageal fistula can be reconstructed with an SCM rotation flap. If the TE fistula is of a suitable size, this reconstructive strategy is effective and simple to close persistent TE fistula and avoid further airway complications.

引用

页码：S126 / S129

页数：4

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