Median sternotomy and use of a pedicled sternocleidomastoid muscle flap in the management of recurrent tracheoesophageal fistula.
Recurrent tracheoesophageal fistula may complicate primary repair of congenital tracheoesophageal fistula. Standard treatment involves repair via a right lateral thoracotomy and use of adjacent soft tissues to separate the suture lines of the fistulous openings. The authors describe an alternative approach via a median sternotomy, which improves access, reduces the operating time required to identify the recurrent fistula, and enables the use of a pedicled sternocleidomastoid muscle flap to decrease the risk of refistulization.
Holland
A J
AJ
Department of Paediatric Surgery, Women's and Children's Hospital, Adelaide, South Australia, Australia.
Ford
W D
WD
Guerin
R L
RL
D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D012008:Recurrence; D013249:Sternum / Q000601:surgery*; D013524:Surgical Flaps; D014138:Tracheoesophageal Fistula / Q000151:congenital / Q000601:surgery*