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Clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction

BACKGROUND: Large or complex trachea defects often require some tissue to reconstruct, various flaps have been reported for reconstructing this defect. However, pedicled thoracoacromial artery perforator flap have not been reported in tracheal reconstruction. Therefore, this study is to assess the e...

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Autores principales: Deng, Di, Xu, Feng, Liu, Jifeng, Li, Bo, Li, Linke, Liu, Jun, Chen, Fei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7689962/
https://www.ncbi.nlm.nih.gov/pubmed/33238979
http://dx.doi.org/10.1186/s12893-020-00972-9
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author Deng, Di
Xu, Feng
Liu, Jifeng
Li, Bo
Li, Linke
Liu, Jun
Chen, Fei
author_facet Deng, Di
Xu, Feng
Liu, Jifeng
Li, Bo
Li, Linke
Liu, Jun
Chen, Fei
author_sort Deng, Di
collection PubMed
description BACKGROUND: Large or complex trachea defects often require some tissue to reconstruct, various flaps have been reported for reconstructing this defect. However, pedicled thoracoacromial artery perforator flap have not been reported in tracheal reconstruction. Therefore, this study is to assess the efficacy and clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction. METHODS: Eight patients who underwent tracheal reconstructions with pedicled TAAP flaps between December 2017 and October 2019 were retrospectively reviewed. RESULTS: All of the pedicled TAAP flaps in our study survived. The flap size ranged from 2 cm × 5 cm to 4 cm × 10 cm, and the size of each island of one double-island flap was 2 cm × 2.5 cm. The mean thickness was 0.6 cm, and the pedicle length varied between 6 and 9 cm (mean 7.9 cm). The mean time of flap harvest was 17 min. The mean age of the patients was 62.4 years and five elderly patients had comorbidities, such as diabetes, hypertension and asthma. One patient received a double-island flap for tracheal and esophageal reconstruction, and the other patient received simple tracheal reconstruction. One patient died due to cancer metastasis. Six patients obtained functional recovery of breathing, except one patients who did not experience closure of the tracheostomy opening due to uncompleted I131 treatment. CONCLUSION: Pedicled TAAP flaps provide a short harvesting time, thin thickness and stable blood supply, and they do not require microsurgical skills. This flap is a good choice for the reconstruction of tracheal defects, especially in the aged or patients with comorbidities who are not able to tolerate prolonged surgery.
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spelling pubmed-76899622020-11-30 Clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction Deng, Di Xu, Feng Liu, Jifeng Li, Bo Li, Linke Liu, Jun Chen, Fei BMC Surg Research Article BACKGROUND: Large or complex trachea defects often require some tissue to reconstruct, various flaps have been reported for reconstructing this defect. However, pedicled thoracoacromial artery perforator flap have not been reported in tracheal reconstruction. Therefore, this study is to assess the efficacy and clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction. METHODS: Eight patients who underwent tracheal reconstructions with pedicled TAAP flaps between December 2017 and October 2019 were retrospectively reviewed. RESULTS: All of the pedicled TAAP flaps in our study survived. The flap size ranged from 2 cm × 5 cm to 4 cm × 10 cm, and the size of each island of one double-island flap was 2 cm × 2.5 cm. The mean thickness was 0.6 cm, and the pedicle length varied between 6 and 9 cm (mean 7.9 cm). The mean time of flap harvest was 17 min. The mean age of the patients was 62.4 years and five elderly patients had comorbidities, such as diabetes, hypertension and asthma. One patient received a double-island flap for tracheal and esophageal reconstruction, and the other patient received simple tracheal reconstruction. One patient died due to cancer metastasis. Six patients obtained functional recovery of breathing, except one patients who did not experience closure of the tracheostomy opening due to uncompleted I131 treatment. CONCLUSION: Pedicled TAAP flaps provide a short harvesting time, thin thickness and stable blood supply, and they do not require microsurgical skills. This flap is a good choice for the reconstruction of tracheal defects, especially in the aged or patients with comorbidities who are not able to tolerate prolonged surgery. BioMed Central 2020-11-25 /pmc/articles/PMC7689962/ /pubmed/33238979 http://dx.doi.org/10.1186/s12893-020-00972-9 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Deng, Di
Xu, Feng
Liu, Jifeng
Li, Bo
Li, Linke
Liu, Jun
Chen, Fei
Clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction
title Clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction
title_full Clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction
title_fullStr Clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction
title_full_unstemmed Clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction
title_short Clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction
title_sort clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7689962/
https://www.ncbi.nlm.nih.gov/pubmed/33238979
http://dx.doi.org/10.1186/s12893-020-00972-9
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