Skin Perforator Flap Pedicled by Intercostal Muscle for Repair of a Tracheobronchoesophageal Fistula

The Annals of Thoracic Surgery
Nicolas BertheuilBernard Meunier

Abstract

A tracheobronchial fistula (TBF) is a rare complication when an operation is performed to treat esophageal carcinoma; no consensus treatment strategy has emerged. We describe a surgical interposition strategy, using a new flap, to repair a TBF that arose when esophageal squamous cell carcinoma was treated with neoadjuvant chemoradiation and minimally invasive esophagectomy (the 3-stage McKeown procedure). We performed a skin perforator flap pedicled by the intercostal muscle. It is a valuable option that may be the optimal first-line treatment, especially in the context of neoadjuvant radiation therapy. Furthermore, this strategy affords new options for intrathoracic reconstruction.

Citations

Jul 10, 2018·Annals of the New York Academy of Sciences·Peter P GrimmingerAndrew C Chang
Aug 7, 2019·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·C MannP P Grimminger
Feb 19, 2020·Annales de chirurgie plastique et esthétique·B MenardaisN Bertheuil
Jul 1, 2020·Thoracic Surgery Clinics·Ammara A WatkinsJennifer L Wilson
Sep 22, 2018·Annales de chirurgie plastique et esthétique·N BertheuilB Meunier

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