title: Tracheoplasty With Use of an Intercostal Muscle Flap for Caustic Necrosis.
abstract: We report a case of intercostal muscle flap used in tracheobronchial reconstruction for extensive necrosis after burn lesions of the posterior wall. A 32-year-old man attempted suicide by ingestion of caustic material. He underwent emergency total esogastrectomy, tracheostomy, and feeding jejunostomy. Ten days later, endoscopy showed complete destruction of the membranous trachea, extending from the tracheostomy to the carina. Reconstruction was conducted with the patient under venovenous extracorporeal membrane oxygenation by use of a pedicled intercostal muscle flap. The patient was weaned from respiratory support on the 14th postoperative day. Examination of a biopsy specimen from the flap 7 months after tracheoplasty showed ciliated neoepithelium.
authors.affiliation: Department of Thoracic and Endocrine Surgery, Jean Perrin Comprehensive Cancer Center, Clermont-Ferrand, France. Electronic address: adel.naamee@cjp.fr.
authors.forename: Adel
authors.initials: A
authors.lastname: Naamee
authors.affiliation: Department of Thoracic and Endocrine Surgery, Jean Perrin Comprehensive Cancer Center, Clermont-Ferrand, France; Anatomy Department, Clermont Université School of Medicine, Clermont-Ferrand, France.
authors.forename: Geraud
authors.initials: G
authors.lastname: Galvaing
authors.affiliation: Department of Thoracic and Endocrine Surgery, Jean Perrin Comprehensive Cancer Center, Clermont-Ferrand, France.
authors.forename: Jean Baptiste
authors.initials: JB
authors.lastname: Chadeyras
authors.affiliation: Department of Cardiovascular Surgery, G. Montpied Hospital, Clermont-Ferrand, France.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Farhat
authors.affiliation: Department of Anesthesiology, Jean Perrin Comprehensive Cancer Center, Clermont-Ferrand, France.
authors.forename: Jean Philippe
authors.initials: JP
authors.lastname: Page
authors.affiliation: Department of Anesthesiology, Jean Perrin Comprehensive Cancer Center, Clermont-Ferrand, France.
authors.forename: Estelle
authors.initials: E
authors.lastname: Bony-Collangettes
authors.affiliation: Department of Thoracic and Endocrine Surgery, Jean Perrin Comprehensive Cancer Center, Clermont-Ferrand, France.
authors.forename: Marie M
authors.initials: MM
authors.lastname: Tardy
authors.affiliation: Department of Thoracic and Endocrine Surgery, Jean Perrin Comprehensive Cancer Center, Clermont-Ferrand, France; Anatomy Department, Clermont Université School of Medicine, Clermont-Ferrand, France.
authors.forename: Marc
authors.initials: M
authors.lastname: Filaire
mesh_terms: D000328:Adult; D002057:Burns, Chemical / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007366:Intercostal Muscles / Q000637:transplantation*; D008297:Male; D009336:Necrosis / Q000209:etiology / Q000473:pathology / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D013406:Suicide, Attempted; D013524:Surgical Flaps; D014132:Trachea / Q000293:injuries / Q000601:surgery*; D014135:Tracheal Stenosis / Q000139:chemically induced / Q000601:surgery*