The prefabricated bilaminar radial forearm free flap for the closure of a tracheoesophageal fistula Journal Article

  


Authors: Timmer, F. C. A.; Wreesmann, V. B.; Smeele, L. E.; Hilgers, F. J. M.; Lohuis, P. J. F. M.
Article Title: The prefabricated bilaminar radial forearm free flap for the closure of a tracheoesophageal fistula
Abstract: Tracheoesophageal fistula (TEF) is a rare but serious condition associated with high mortality rates. Traditional management of TEF includes primary closure with or without interposition of regional tissue flaps, which however is associated with a significant recurrence risk, especially in case of larger TEFs. Application of microvascular free flap reconstruction is an emerging alternative in the surgical management of large TEFs, but may be limited by issues of flap bulkiness and requirement for neoepithelialization across the large inner flap surface. In this study we report préfabrication of a bilaminar radial forearm free flap and successful closure of a large recurrent TEF that occurred years after tracheoesophageal puncture-based voice rehabilitation in two laryngectomized patients. Conclusion: the prefabricated bilaminar radial forearm free flap is an important adjunct to the closure of large TEFs.
Keywords: laryngectomy; tracheoesophageal fistula; radial forearm free flap; bilaminar
Journal Title: Nederlands Tijdschrift voor Keel- Neus- Oorheelkunde
Volume: 19
Issue: 3
ISSN: 1381-6683
Publisher: Van Zuiden Communications B.V.  
Date Published: 2013-01-01
Start Page: 115
End Page: 120
Language: Dutch
PROVIDER: scopus
DOI/URL:

http://www.scopus.com/inward/record.url?eid=2-s2.0-84881335311&partnerID=40&md5=f1b1674f9a0d5c88b4b316814b69a652
Notes: --- - "Export Date: 4 September 2013" - "CODEN: NTKNF" - "Source: Scopus"