Closure of tracheoesophageal fistula with prefabricated deltopectoral flap

Shigeyuki Murono; Eriko Ishikawa; Yosuke Nakanishi; Kazuhira Endo; Satoru Kondo; Naohiro Wakisaka; Tomokazu Yoshizaki

doi:10.1016/j.asjsur.2014.01.003

Closure of tracheoesophageal fistula with prefabricated deltopectoral flap

Asian J Surg. 2016 Oct;39(4):243-6. doi: 10.1016/j.asjsur.2014.01.003. Epub 2014 Mar 25.

Authors

Shigeyuki Murono¹, Eriko Ishikawa², Yosuke Nakanishi², Kazuhira Endo², Satoru Kondo², Naohiro Wakisaka², Tomokazu Yoshizaki²

Affiliations

¹ Department of Otolaryngology, Head and Neck Surgery, School of Medicine, Kanazawa University, Kanazawa, Ishikawa, Japan. Electronic address: murono@med.kanazawa-u.ac.jp.
² Department of Otolaryngology, Head and Neck Surgery, School of Medicine, Kanazawa University, Kanazawa, Ishikawa, Japan.

PMID: 24674898
DOI: 10.1016/j.asjsur.2014.01.003

Abstract

Tracheoesophageal fistula (TEF) is a serious complication associated with impaired quality of life. However, a successful TEF closure is difficult owing to the high incidence of recurrence. We utilized a prefabricated deltopectoral (DP) flap for closure of a TEF that occurred after an extended total thyroidectomy. Prefabrication of the inner soft tissue lining the DP flap with a split skin graft was performed prior to surgical closure of a TEF. Esophageal and tracheal mucosa were sutured to the split thickness side and full thickness side of the prefabricated DP flap, respectively. A successful closure of the fistula was achieved with this procedure. Prefabricated DP flap is a useful procedure for the surgical treatment of TEF.

Keywords: deltopectoral flap; prefabricated; skin graft; total thyroidectomy; tracheoesophageal fistula.

Publication types

Case Reports

MeSH terms

Aged
Female
Humans
Plastic Surgery Procedures / methods*
Postoperative Complications / surgery*
Surgical Flaps*
Thyroidectomy
Tracheoesophageal Fistula / etiology
Tracheoesophageal Fistula / surgery*