Long-segment tracheal stenosis treated with vascularized mucosa and short-term stenting.
A free, vascularized radial forearm fascia flap lined with two full-thickness buccal mucosa grafts can be used in cases of acquired, long-segment tracheal stenosis. To compensate for the absence of supportive tissue, the reconstructive tissue has to be supported by a stent for a period of 4 weeks. A case with an airway stenosis with a length greater than 5 cm is presented. The vascularized mucosa allowed for primary healing of the augmented airway. The tracheostomy could be closed shortly after stent removal.
Stamenkovic
Steven
S
Department of Thoracic Surgery, University Hospital K. U. Leuven, Leuven, Belgium.
Hierner
Robert
R
De Leyn
Paul
P
Delaere
Pierre
P
D002610:Cheek; D005205:Fascia; D005260:Female; D005542:Forearm; D006801:Humans; D008875:Middle Aged; D009061:Mouth Mucosa / Q000098:blood supply* / Q000637:transplantation*; D015607:Stents; D013524:Surgical Flaps / Q000098:blood supply; D014057:Tomography, X-Ray Computed; D014135:Tracheal Stenosis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D014945:Wound Healing