[Tracheobronchial cylindroma. Success after left pneumonectomy and plastic repair of a large right tracheobronchial break with a musculo-pleural pedicle and bone graft around a temporary Dumont prosthesis].
A 54-year-old woman with a cylindroma of the lower trachea underwent exploration with dissection of the tracheobronchial junction. The main left bronchus was invaded and there was major tissue loss of membranous tracheo-bronchial substance. Histology showed both tracheal and bronchial involvement. Left pneumonectomy was performed and a Dumon prosthesis was installed on the right. The prosthesis was enveloped in a musculopleural plasty reinforced with a vone graft. Good air flow was established immediately allowing secondary reconstruction of a perfectly functional neobronchus. Outcome was quite favorable with a 3 year follow-up.
Do Dang
Q
Q
Réanimation médicale polyvalente, Centre Chirurgical Val D'Or, Saint-Cloud.
Bakdach
H
H
Thomas
B
B
D016025:Bone Transplantation; D001984:Bronchial Neoplasms / Q000601:surgery*; D003528:Carcinoma, Adenoid Cystic / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011013:Pneumonectomy; D011184:Postoperative Period; D019736:Prostheses and Implants; D014134:Tracheal Neoplasms / Q000601:surgery*
Cylindrome trachéo-bronchique. Succès après pneumonectomie gauche et plastie d'une grosse brèche trachéo-bronchique droite avec pédicule musculo-pleural et greffon osseux autour d'une prothèse provisoire de Dumon.