title: Laryngotracheal separation using skin flap formation: a novel surgical procedure.
abstract: Laryngotracheal separation is often performed to prevent intractable aspiration for children with severe mental and physical disabilities. However, tracheo-innominate artery fistula after surgery can occur as a severe complication and cause fatal hemorrhage. We have therefore developed a novel procedure to prevent tracheo-innominate artery fistula. Surgery was performed by making an H-shaped incision and creating skin flaps. The trachea was not raised anteriorly and the skin flaps were sutured to the trachea. We performed this procedure on nine patients, and no major complications occurred in any case. This procedure can be expected to reduce the occurrence of tracheo-innominate artery fistula.
authors.affiliation: Department of Pediatric Surgery, Shizuoka Children's Hospital, Shizuoka, Japan. kfukumoto@sch.pref.shizuoka.jp
authors.forename: Koji
authors.initials: K
authors.lastname: Fukumoto
authors.forename: Naoto
authors.initials: N
authors.lastname: Urushihara
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Fukuzawa
authors.forename: Akihide
authors.initials: A
authors.lastname: Sugiyama
authors.forename: Hideki
authors.initials: H
authors.lastname: Nagae
authors.forename: Kentaro
authors.initials: K
authors.lastname: Watanabe
authors.forename: Maki
authors.initials: M
authors.lastname: Mitsunaga
authors.forename: Satoshi
authors.initials: S
authors.lastname: Akazawa
authors.forename: Shiro
authors.initials: S
authors.lastname: Hasegawa
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007830:Larynx / Q000601:surgery*; D008297:Male; D012867:Skin; D013524:Surgical Flaps; D014132:Trachea / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult