title: Split latissimus dorsi muscle flap repair of acquired, nonmalignant, intrathoracic tracheoesophageal and bronchoesophageal fistulas.
abstract: The development of a fistula between the tracheobronchial tree and oesophagus due to nonmalignant causes is uncommon. Division of the fistula with muscle flap interposition eliminates contact between the tracheobronchial segment and the oesophagus, theoretically decreasing the chance of recurrence as well as providing a robust blood supply to aid in healing. The split latissimus dorsi muscle flap is a well-suited flap for such repairs because of the ability to simultaneously cover two separate apertures (tracheobronchial and oesophageal). The authors describe the split latissimus dorsi muscle flap with step-by-step technique for repair of intrathoracic aerodigestive fistulas.
authors.affiliation: Department of Surgery, Wayne State University, Detroit, USA.
authors.forename: Ziyad S
authors.initials: ZS
authors.lastname: Hammoudeh
authors.affiliation: Division of Plastic Surgery, Wayne State University, Detroit, USA.
authors.forename: Eti
authors.initials: E
authors.lastname: Gursel
authors.affiliation: Division of Cardiothoracic Surgery, Wayne State University, Detroit, USA. Electronic address: fbaciewi@dmc.org.
authors.forename: Frank A
authors.initials: FA
authors.lastname: Baciewicz
mesh_terms: D001983:Bronchial Fistula / Q000473:pathology / Q000601:surgery*; D004937:Esophageal Fistula / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D061214:Patient Safety; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D064171:Superficial Back Muscles / Q000601:surgery / Q000637:transplantation*; D013524:Surgical Flaps / Q000098:blood supply / Q000637:transplantation*; D013908:Thoracotomy / Q000379:methods; D016896:Treatment Outcome
keywords: Bronchus; Esophagus; Fistula; Reconstruction; Trachea