title: A simple myocutaneous flap for short-stump mediastinal tracheostomy.
abstract: A long, U-shaped myocutaneous flap was designed to construct mediastinal tracheostomy in patients with a short tracheal stump. The technique was used in 1 patient who had tracheal carcinoma and whose tracheal stump was 1.5 cm and in 2 patients whose posterior part of the tracheal stump was 3 cm and 5 cm, respectively, and who had advanced cervicothoracic esophageal carcinoma. The flap provides a cosmetic effect and its construction saves time in the surgery of long-segment tracheal carcinomas and locally advanced cervicothoracic esophageal carcinomas.
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Chia-Yi Christian Hospital, Chia-Yi City, Taiwan, Republic of China. m2201@mail.ncku.edu.tw
authors.forename: Ming-Ho
authors.initials: MH
authors.lastname: Wu
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D003528:Carcinoma, Adenoid Cystic / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods; D004947:Esophagus / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007825:Laryngectomy / Q000379:methods; D008297:Male; D008482:Mediastinum / Q000601:surgery; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D013524:Surgical Flaps; D013536:Suture Techniques; D014132:Trachea / Q000473:pathology / Q000601:surgery; D014134:Tracheal Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D014139:Tracheostomy / Q000379:methods*