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Langenbeck's Archives of Surgery

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01-11-2010 | Original Article

Defect classification and reconstruction algorithm for patients with tracheostomy using the tunneled supraclavicular artery island flap

Authors: Norbert Pallua, Timm Phillip Wolter

Published in: Langenbeck's Archives of Surgery | Issue 8/2010

Abstract

Purpose

Following long-term tracheostomy, reconstruction of the suprasternal notch and coverage of tracheocutaneous fistulas can be challenging. Often, aesthetic results are secondary to functional outcome. In this article, we propose a defect classification and a treatment algorithm using the tunneled supraclavicular artery island flap for functional and aesthetic reconstruction.

Methods

Twelve patients requiring complete or partial closure of a tracheocutaneous fistula or soft tissue deficit reconstruction were treated with this pedicled flap. Support for the anterior tracheal wall was achieved by including fascia or bone into the flap.

Results

Functional outcome was excellent, and suprasternal notch correction was achieved with good texture match. Donor sites could be closed primarily in every case. All flaps healed uneventfully, Long-term follow-up computed tomography scans demonstrated vital bone chips.

Conclusions

The proposed classification and treatment algorithm provides a structured approach to a successful surgical treatment of this complex condition.

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Title: Defect classification and reconstruction algorithm for patients with tracheostomy using the tunneled supraclavicular artery island flap
Authors: Norbert Pallua
Timm Phillip Wolter
Publication date: 01-11-2010
Publisher: Springer-Verlag
Published in: Langenbeck's Archives of Surgery / Issue 8/2010
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-010-0654-x

At a glance: The STEP trials

Springer Medicine

Defect classification and reconstruction algorithm for patients with tracheostomy using the tunneled supraclavicular artery island flap

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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