title: A novel technique for closing a tracheocutaneous fistula using a hinged skin flap.
abstract: We present the case of a 73-year-old man with successful closure of a persistent tracheocutaneous tissue defect that resulted from poor wound healing after a temporary tracheostomy was performed during treatment for drug-induced anaphylactic shock. We repaired the tracheal defect using a cutaneous flap with its cutaneous surface positioned to cover the tracheal lumen. The advantage of our method is that it minimizes the suturing required and results in fewer problems with anastomotic insufficiency. This is a simple, rapid method for treating tracheocutaneous fistulas.
authors.affiliation: Department of General Thoracic Surgery, Maebashi Red Cross Hospital, 3-21-36 Asahi-cho, Maebashi, Gunma, 371-0014, Japan.
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Kamiyoshihara
authors.forename: Toshiteru
authors.initials: T
authors.lastname: Nagashima
authors.forename: Izumi
authors.initials: I
authors.lastname: Takeyoshi
mesh_terms: D000368:Aged; D017577:Cutaneous Fistula / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D016156:Respiratory Tract Fistula / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps; D013536:Suture Techniques; D014139:Tracheostomy / Q000009:adverse effects