title: Closure of tracheoesophageal puncture with pedicled fascia flap of the sternocleidomastoid muscle.
abstract: OBJECTIVE
  Closure of a tracheoesophageal puncture (TEP) formed during voice prosthesis implantation may sometimes be required. We report a new method of closure that we have termed the RESET method.
  
  
  METHODS
  We used the RESET method for four patients. An initial incision was made at the mucocutaneous junction of the tracheostoma, and the trachea and esophagus were separated. The TEP was sectioned, and the tracheal and esophageal sides were sutured into separate layers. A pedicled fascia flap lifted from the sternocleidomastoid muscle was sandwiched between the trachea and the esophagus, and subsequently secured.
  
  
  RESULTS
  The TEP was closed in all patients, and no complications were observed.
  
  
  CONCLUSIONS
  The RESET method, using a pedicled fascia flap with stable perfusion, is a simple, reliable method of TEP closure.
authors.affiliation: Department of Otolaryngology, Japanese Redcross Shizuoka Hospital, Shizuoka, Japan; Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan. Electronic address: wasano@a5.keio.jp.
authors.forename: Koichiro
authors.initials: K
authors.lastname: Wasano
authors.affiliation: Department of Otolaryngology, Japanese Redcross Shizuoka Hospital, Shizuoka, Japan.
authors.forename: Noriomi
authors.initials: N
authors.lastname: Suzuki
authors.affiliation: Department of Otolaryngology, Japanese Redcross Shizuoka Hospital, Shizuoka, Japan.
authors.forename: Taiji
authors.initials: T
authors.lastname: Kawasaki
authors.affiliation: Department of Otolaryngology, Japanese Redcross Shizuoka Hospital, Shizuoka, Japan.
authors.forename: Sayuri
authors.initials: S
authors.lastname: Yamamoto
authors.affiliation: Department of Otolaryngology, National Hospital Organization Tokyo Medical Center, Tokyo, Japan.
authors.forename: Shujiro
authors.initials: S
authors.lastname: Minami
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, National Defense Medical College, Saitama, Japan.
authors.forename: Taku
authors.initials: T
authors.lastname: Yamashita
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan.
authors.forename: Kaoru
authors.initials: K
authors.lastname: Ogawa
mesh_terms: D000368:Aged; D020878:Device Removal / Q000379:methods; D004947:Esophagus / Q000601:surgery*; D005205:Fascia / Q000637:transplantation*; D005260:Female; D006801:Humans; D007825:Laryngectomy / Q000534:rehabilitation*; D007831:Larynx, Artificial; D008297:Male; D008875:Middle Aged; D009334:Neck Muscles; D011475:Prosthesis Failure; D019919:Prosthesis Implantation / Q000379:methods; D012189:Retrospective Studies; D013524:Surgical Flaps; D014132:Trachea / Q000601:surgery*; D016896:Treatment Outcome; D058106:Wound Closure Techniques
keywords: Pedicled fascia flap; Sternocleidomastoid muscle; Tracheoesophageal puncture; Voice prosthesis