1. Internal mammary artery perforator flap in the management of tracheoesophageal fistulae.
- Author
-
Kaur, Amrita and Biswas, Gautam
- Subjects
- *
INTERNAL thoracic artery , *PERFORATOR flaps (Surgery) , *TREATMENT effectiveness , *RETROSPECTIVE studies , *DESCRIPTIVE statistics , *SURGICAL complications , *MEDICAL records , *ACQUISITION of data , *PLASTIC surgery , *TRACHEAL fistula ,LARYNGEAL tumors - Abstract
Background: A pathological communication between the trachea and oesophagus – a tracheoesophageal fistula – may be congenital or acquired, benign or malignant, necessitating a multidisciplinary approach. Conservative attempts at closure of this abnormal connection are ineffective; the interposition of healthy vascular tissue offers the least chance of recurrence. Methods: Outcomes of an islanded fasciocutaneous internal mammary artery perforator flap applied for tracheoesophageal fistula management were assessed in four radiated patients with laryngeal carcinoma using retrospective records. Results: Four male patients, with an average age of 60.75 years, underwent tracheoesophageal fistula closure between September 2017 and February 2021. A left-sided second internal mammary artery perforator flap was used in all cases, with an average dimension of 10.5 × 4.5 cm. There were no complications of tracheoesophageal leak, flap issues or donor site morbidity on follow up. Conclusion: Recent advances in angiosomal territory mapping and microvascular dissection techniques, combined with an understanding of tracheoesophageal fistula pathology, have changed management perspectives in these difficult-to-treat patients. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF