Use of the pectoralis major muscle flap for repair of a tracheoesophageal fistula.
A case of tracheal rupture after a Lewis-Tanner esophagectomy in a patient with carcinoma of the esophagus was complicated by the formation of a tracheoesophageal fistula after initial direct repair. The fistula was successfully treated with a pectoralis major muscle flap moved into the superior mediastinum by a sternotomy and excision of the upper part of the sternum and adjacent costal cartilages.
D002294:Carcinoma, Squamous Cell / Q000601:surgery; D004938:Esophageal Neoplasms / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010369:Pectoralis Muscles; D012422:Rupture, Spontaneous; D013249:Sternum / Q000601:surgery; D013524:Surgical Flaps; D014132:Trachea / Q000293:injuries; D014138:Tracheoesophageal Fistula / Q000209:etiology / Q000601:surgery*