The radial forearm fasciocutaneous free-tissue transfer for tracheostomy reconstruction.
Wide resection of parastomal tissues after stomal recurrence significantly benefits patient survival. The defect thus created often requires coverage with a flap that provides (1) well-vascularized skin and soft tissue for uncomplicated wound closure and (2) pliable skin that can be inset easily around the often-shortened tracheal remnant. The radial forearm fasciocutaneous flap is ideal for these types of reconstructive problems. It should therefore be included on the reconstructive ladder for tracheostomy reconstruction both as a first choice and as a backup flap.
Cordeiro
P G
PG
Plastic and Reconstructive Surgery Service, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
Mastorakos
D P
DP
Shaha
A R
AR
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000556:secondary* / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery; D007825:Laryngectomy; D008297:Male; D013524:Surgical Flaps / Q000379:methods*; D014134:Tracheal Neoplasms / Q000556:secondary* / Q000601:surgery*; D014139:Tracheostomy