Novel method to repair tracheal defect by pectoralis major myocutaneous flap.
Inflammatory myofibroblastic tumor is extremely uncommon in the trachea. Surgery is recommended when airway obstruction becomes evident. The surgical technique and material used for repairing a massive tracheal defeat is a challenge for the thoracic surgeon. We present a case of repair and reconstruction of a massive defect of the thoracic trachea and right mainstem bronchus with a pectoralis major myocutaneous flap after resection of an inflammatory myofibroblastic tumor. The myocutaneous flap provides reliable material to repair and reconstruct a massive central airway defect. This novel surgical procedure may present new strategies for the treatment of extensive defects of the trachea.
He
Jianxing
J
Division of Cardiothoracic Surgery, First Affiliated Hospital of Guangzhou Medical College, Guangzhou, China. jianxing@gird.cn
Xu
Xin
X
Chen
Manyin
M
Li
Shuben
S
Yin
Weiqiang
W
Wang
Susheng
S
Gu
Yingying
Y
D000328:Adult; D001707:Biopsy, Needle; D001999:Bronchoscopy / Q000379:methods; D002277:Carcinoma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D007150:Immunohistochemistry; D009367:Neoplasm Staging; D010369:Pectoralis Muscles / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000601:surgery*; D014134:Tracheal Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D014135:Tracheal Stenosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome