Closure of Large Tracheocutaneous Fistula Using Modified Hinge Flap and Deltopectral Flap.

IF 2.3 3区医学 Q1 OTORHINOLARYNGOLOGY Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2024-10-18 DOI:10.1002/hed.27966

Naoya Ishida, Kentaro Tanaka, Kyoichi Murakami, Mayu Ueno, Hiroki Mori

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Abstract

Background: Various methods for closing tracheocutaneous fistulas have been reported; however, there is no established consensus. This study reports the successful closure of a large tracheocutaneous fistula using a Modified Hinge Flap and DP flap.

Methods: Between July 2014 and December 2023, four patients underwent a modified hinge flap and DP flap for tracheocutaneous fistula at a single center.

Results: The maximum diameter of the fistula was 10-33 mm, the cartilage defect was 1/4-1/2 of the total circumference of the trachea, and no radiation was administered to the neck during the perioperative period. In all cases, postoperative speech and swallowing improved, and none of the patients complained of cosmetic appearance.

Conclusions: The method in this study is simple and allows reliable closure of relatively large tracheocutaneous fistula of 10 mm or more, and we believe that it can be a new treatment method for tracheocutaneous fistula closure.

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使用改良铰链皮瓣和胸骨下皮瓣缝合大面积气管皮瘘管

背景：有报道称，气管瘘的闭合方法多种多样，但尚未达成共识。本研究报告了使用改良铰链皮瓣和DP皮瓣成功闭合巨大气管瘘的案例：方法：2014年7月至2023年12月期间，4名患者在一个中心接受了改良铰链皮瓣和DP皮瓣治疗气管瘘：瘘管最大直径为10-33毫米，软骨缺损面积为气管总周长的1/4-1/2，围手术期未对颈部进行放射治疗。在所有病例中，术后言语和吞咽功能均有所改善，没有患者抱怨外观不美：本研究中的方法简单易行，能可靠地关闭相对较大的 10 毫米或更大的气管瘘，我们相信它可以成为气管瘘闭合的一种新的治疗方法。

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.