Anterior mediastinal tracheostomy with a pectoralis major musculocutaneous flap.
We suggest the pectoralis major musculocutaneous flap is a simple and reliable technique in constructing a mediastinal tracheostomy. It has the advantage of excellent vascularity and reliability even in those patients who have undergone preoperative radiation therapy. In addition, a well-vascularized lobe of thyroid tissue placed over the pharyngogastric anastomosis may decrease anastomotic leaks.
D002294:Carcinoma, Squamous Cell / Q000601:surgery; D004938:Esophageal Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008482:Mediastinum; D008875:Middle Aged; D010369:Pectoralis Muscles; D013524:Surgical Flaps; D014134:Tracheal Neoplasms / Q000601:surgery*; D014140:Tracheotomy / Q000379:methods*