The use of chest wall muscle flaps to close bronchopleural fistulas: experience with 21 patients.
Nineteen patients with bronchopleural fistulas associated with tuberculosis and 2 patients with fistulas following resection for bronchiectasis underwent closure of the fistulas with pedicled flaps of chest wall muscle. The muscle grafting was combined with a limited thoracoplasty in 13 patients. The initial myoplasty produced prompt fistula closure in 15 patients and delayed closure in 2 others. A repeat myoplasty was successful in 2 patients in whom the initial myoplasty failed. Compared with other methods of treating bronchopleural fistulas used during the same period, muscle grafting carried a higher rate of successful fistula closure and a lower mortality rate.
D000328:Adult; D000368:Aged; D001983:Bronchial Fistula / Q000209:etiology / Q000601:surgery*; D001987:Bronchiectasis / Q000150:complications / Q000601:surgery; D004654:Empyema, Tuberculous / Q000150:complications / Q000601:surgery; D005260:Female; D005402:Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007366:Intercostal Muscles / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009132:Muscles / Q000601:surgery*; D010995:Pleural Diseases / Q000209:etiology / Q000601:surgery*; D011013:Pneumonectomy; D011859:Radiography; D013903:Thoracic Surgery; D013909:Thorax / Q000601:surgery*; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery