Fascia Temporalis Free Flap for Cricotracheal Reconstruction: A Novel Approach

Ann Thorac Surg. 2017 Sep;104(3):1040-1046. doi: 10.1016/j.athoracsur.2017.02.078. Epub 2017 Jun 1.


Background: The aim of tracheal reconstruction is to provide an airtight and noncollapsible airway covered with a suitable epithelial lining. To date, no ideal treatment is available for large tracheal defects.

Methods: We report 4 patients who underwent one-stage reconstruction for a cricotracheal stenosis with a free temporoparietal fascia flap and costal cartilage grafts.

Results: Closure of tracheostoma was achieved for all patients. The main advantage of this flap compared with the free radial forearm flap is that it supplies a more suitable lining allowing the reepithelialization process with respiratory epithelium.

Conclusions: This one-stage procedure provides a reliable construct to substitute for large tracheal defects, even in areas previously exposed to an operation or radiotherapy.

MeSH terms

  • Adult
  • Aged
  • Cricoid Cartilage / surgery*
  • Fascia / transplantation*
  • Female
  • Follow-Up Studies
  • Free Tissue Flaps*
  • Humans
  • Microsurgery / methods*
  • Plastic Surgery Procedures / methods*
  • Retrospective Studies
  • Trachea / surgery*
  • Tracheal Stenosis / surgery*
  • Treatment Outcome