title: Repair of tracheomalacia with inflammatory defect and mediastinitis.
abstract: We describe a novel repair of an anterior inflammatory tracheal defect with mediastinitis, which occurred after external tracheal suspension of localized intrathoracic tracheomalacia. The malacic tracheal segment of 4-cm length containing the inflammatory tracheal defect was noncircumferentially resected. A temporary endotracheal silicone stent was introduced, and the trachea was closed by a pedicled pectoralis muscle flap reinforced with an embedded rib segment. Retrieval of the stent 5 months postoperatively resulted in a re-epithelialized, persistently stable, noncollapsible tracheal segment that showed the same diameter and configuration as the nonreconstructed part of the trachea.
authors.affiliation: Department of Otorhinolaryngology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland. kishore.sandu@chuv.ch
authors.forename: Kishore
authors.initials: K
authors.lastname: Sandu
authors.forename: Yan
authors.initials: Y
authors.lastname: Monnier
authors.forename: Michel
authors.initials: M
authors.lastname: Hurni
authors.forename: Marc-Andre
authors.initials: MA
authors.lastname: Bernath
authors.forename: Philippe
authors.initials: P
authors.lastname: Monnier
authors.forename: Yabo
authors.initials: Y
authors.lastname: Wang
authors.forename: Hans-Beat
authors.initials: HB
authors.lastname: Ris
mesh_terms: D002675:Child, Preschool; D005260:Female; D006801:Humans; D008480:Mediastinitis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D015607:Stents; D013524:Surgical Flaps; D055090:Tracheomalacia / Q000150:complications / Q000175:diagnosis / Q000601:surgery*