Reconstruction of the trachea with a tubed radial forearm free flap.
BACKGROUND
We present the case of a patient with adenoid cystic carcinoma of the trachea who had 60 mm of the trachea excised and reconstructed with a stented radial forearm free flap. The patient was well in the immediate postoperative period with good function of the neotrachea. Problems developing after the reconstruction included proximal stricture, sputum retention, and recurrent pneumonia.


RESULTS
The patient died of malignant hypercalcemia 16 months after the reconstruction. To our knowledge this is the first reported case of a total tracheal resection and reconstruction with a combination of free tissue transfer and internal stenting.


CONCLUSIONS
We conclude that tracheal reconstruction has the potential to provide a reliable airway in patients not able to be reconstructed with a primary anastomosis.
Beldholm
B R
BR
Cardiothoracic Surgery, St. Vincent's Hospital, PO Box 689, Miranda, NSW 1490, Australia. Beldholm@yahoo.com
Wilson
M K
MK
Gallagher
R M
RM
Caminer
D
D
King
M J
MJ
Glanville
A
A
D000328:Adult; D003528:Carcinoma, Adenoid Cystic / Q000175:diagnosis / Q000601:surgery*; D019160:Endosonography; D004867:Equipment Design / Q000295:instrumentation; D005260:Female; D006801:Humans; D015607:Stents; D013524:Surgical Flaps; D014055:Tomography, Emission-Computed; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000601:surgery*; D014134:Tracheal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome