دورية أكاديمية
Internal mammary artery perforator flap for repair of an upper thoracic tracheo-oesophageal fistula.
| العنوان: | Internal mammary artery perforator flap for repair of an upper thoracic tracheo-oesophageal fistula. |
|---|---|
| المؤلفون: | Perraudin T; Department of Plastic and Reconstructive Surgery, Institut Universitaire Locomoteur et du Sport, Pasteur 2 Hospital, University Côte d'Azur, Nice, France., Benkiran T; Department of Thoracic Surgery, CHU de Nice, Nice, France., Alcaraz F; Department of Thoracic Surgery, CHU de Nice, Nice, France., Camuzard O; Department of Plastic and Reconstructive Surgery, Institut Universitaire Locomoteur et du Sport, Pasteur 2 Hospital, University Côte d'Azur, Nice, France., Berthet JP; Department of Thoracic Surgery, CHU de Nice, Nice, France., Lupon E; Department of Plastic and Reconstructive Surgery, Institut Universitaire Locomoteur et du Sport, Pasteur 2 Hospital, University Côte d'Azur, Nice, France. Electronic address: elupon@mgh.harvard.edu. |
| المصدر: | Annales de chirurgie plastique et esthetique [Ann Chir Plast Esthet] 2024 Jul; Vol. 69 (4), pp. 326-330. Date of Electronic Publication: 2024 Jun 12. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: France NLM ID: 8305839 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1768-319X (Electronic) Linking ISSN: 02941260 NLM ISO Abbreviation: Ann Chir Plast Esthet Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Paris : Elsevier Original Publication: Paris : Expansion scientifique française, [c1983- |
| مواضيع طبية MeSH: | Perforator Flap* , Mammary Arteries*/surgery , Tracheoesophageal Fistula*/surgery, Humans ; Male ; Middle Aged ; Esophagectomy/methods ; Esophageal Neoplasms/surgery |
| مستخلص: | Tracheoesophageal fistulas (TOF) following esophagectomy for esophageal cancer are rare but potentially fatal. There is no consensus on treatment between stenting and surgical repair, although the latter is associated with better distant survival. In surgical repair, the interposition of a flap improves healing by providing well-vascularized tissue and reinforcing the repair zone. The flaps described are usually muscular and decaying. We present the case of a malnourished fifty-year-old man who underwent intrathoracic surgical repair of symptomatic recurrent TOF using a skin flap based on the perforators of the internal thoracic artery (IMAP). The perforator flap was completely de-epidermized and tunneled under the sternum by a proximal and limited resection of the 3rd costal cartilage and placed at the posterior aspect of the trachea, with the excess tissue rolled up on either side. At 9 months, the patient showed no recurrence and improved general condition. The de-epidermized IMAP tunneled under the sternum intrathoracically is a reliable alternative to the conventional muscle flaps described in TOF management and an attractive additional tool in the plastic surgeon's surgical arsenal. (Copyright © 2024 Elsevier Masson SAS. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Cervical fistula; Fistule cervicale; Fistules trachéo-œsophagiennes; IMAP flap; Internal mammary artery perforator flap; Lambeau IMAP; Lambeau perforant de l’artère mammaire interne; Lambeau perforants; Perforator flap; Réparation de fistules; TOF repair; Tracheoesophageal fistulas |
| تواريخ الأحداث: | Date Created: 20240612 Date Completed: 20240705 Latest Revision: 20240705 |
| رمز التحديث: | 20240706 |
| DOI: | 10.1016/j.anplas.2024.05.005 |
| PMID: | 38866678 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1768-319X |
|---|---|
| DOI: | 10.1016/j.anplas.2024.05.005 |