| Closure of Large Tracheocutaneous Fistula With Island Deltopectoral Flap |
Hye-Bin Jang
, In Seok Kang
, Hyeong Seok Lee
, Joon Kyoo Lee
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| Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, Hwasun, Korea |
| 섬 형태의 삼각흉근 피판을 이용한 거대 기관피부 누공 폐쇄술 |
| 장혜빈
, 강인석
, 이형석
, 이준규
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| 전남대학교 의과대학 화순전남대학교병원 이비인후과학교실 |
| Correspondence |
Joon Kyoo Lee ,Tel: +82-61-379-8190, Fax: +82-61-379-7761, Email: joonkyoo@jnu.ac.kr
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Received: 10 November 2023; Revised: December 15, 2023 Accepted: 26 December 2023. Published online: 27 June 2024. |
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| ABSTRACT |
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Tracheocutaneous fistula (TCF) formation is a complication of long-term tracheostomy use. Surgical closure is necessary for a persistent TCF because this can lead to various complications. Herein, we describe our use of an island deltopectoral (DP) flap to treat a large TCF. A 62-year-old male, who had previously undergone supraglottic partial laryngectomy with laser and radiation therapy, presented with a second recurrence of supraglottic cancer. Supracricoid partial laryngectomy and cricohyoidoepiglottopexy (CHEP) were performed. Afterward, a large TCF measuring about 2.0×2.5 cm developed. The island DP flap facilitated successful TCF closure. There have been no recurrences or complications, and both the reconstruction site and donor site are well-maintained after 25 months of follow-up. The island DP flap can be a useful option for large TCF closure, even for patients who have had previous radiation therapy. |
| Keywords:
Island flapㆍ Reconstructive surgical procedureㆍ Respiratory tract fistulaㆍ Surgical flapsㆍ Tracheostomy |
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