Tracheocutaneous fistula closure using a Cartilo-musculo-cutaneous bilobed flap.
In general, the development of a tracheocutaneous fistula (TCF) after tracheotomy is a seldom but recurrent clinical problem in long-term ventilated patients. In cases of prolonged wound healing with no spontaneous wound closure or insufficient later closure by secondary suture, different surgical procedures have been previously described for the closure of TCFs. Nonetheless, each procedure has its individually associated complications so that definite closure of TCFs still remains a challenge. The purpose of this case report is to present a unique case of a patient with a persistent TCF that was successfully closed using a local cartilo-musculo-cutaneous bilobed flap.
Burn Surgery BG Trauma Center Tuebingen Eberhard Karls University Tuebingen Tuebingen, Germany.
Wiebke
W
Petersen
Breast Surgery Marienhospital Stuttgart Stuttgart, Germany.
Amro
A
Amr
Burn Surgery BG Trauma Center Tuebingen Eberhard Karls University Tuebingen Tuebingen, Germany.
Manuel
M
Held
Burn Surgery BG Trauma Center Tuebingen Eberhard Karls University Tuebingen Tuebingen, Germany.
Jan-Ole
JO
Werner
Department of Hand, Plastic, Reconstructive and Burn Surgery BG Trauma Center Tuebingen Eberhard Karls University Tuebingen Tuebingen, Germany.
Hans-Eberhard
HE
Schaller
Department of Plastic, Hand, Reconstructive and Aesthetic Surgery Helios Clinic Wuppertal GmbH University Witten/Herdecke Wuppertal, Germany.
Afshin
A
Rahmanian-Schwarz
D000328:Adult; D005402:Fistula / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D012121:Respiration, Artificial / Q000009:adverse effects; D013524:Surgical Flaps; D014132:Trachea / Q000293:injuries / Q000601:surgery; D014140:Tracheotomy / Q000009:adverse effects