Treatment of Recurrent Tracheocutaneous Fistulas in the Irradiated Neck with a Two Layers–Two Flaps Combined Technique

The development of a tracheocutaneous fistula (TCF) is a well-documented complication after tracheostomy, especially in chronic morbid patients, in whom tubes or cannulas are left in place over time, or in irradiated patients. Surgical treatments are therefore needed which range from simple curettag...

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Autores principales: Pignatti, M., Sapino, G., Alicandri-Ciufelli, M., Canzano, F., Presutti, L., De Santis, G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2020
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7775241/
https://www.ncbi.nlm.nih.gov/pubmed/33402777
http://dx.doi.org/10.1055/s-0040-1714769
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author Pignatti, M.
Sapino, G.
Alicandri-Ciufelli, M.
Canzano, F.
Presutti, L.
De Santis, G.
author_facet Pignatti, M.
Sapino, G.
Alicandri-Ciufelli, M.
Canzano, F.
Presutti, L.
De Santis, G.
author_sort Pignatti, M.
collection PubMed
description The development of a tracheocutaneous fistula (TCF) is a well-documented complication after tracheostomy, especially in chronic morbid patients, in whom tubes or cannulas are left in place over time, or in irradiated patients. Surgical treatments are therefore needed which range from simple curettage and dressings to local skin flaps, muscle flaps and, in the more complex cases, microsurgical free tissue transfers. We present a novel combined technique used to successfully treat recurrent TCFs in irradiated patients, involving a superiorly based turnover fistula flap and a sternocleidomastoid transposition flap.
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spelling pubmed-77752412021-01-04 Treatment of Recurrent Tracheocutaneous Fistulas in the Irradiated Neck with a Two Layers–Two Flaps Combined Technique Pignatti, M. Sapino, G. Alicandri-Ciufelli, M. Canzano, F. Presutti, L. De Santis, G. Indian J Plast Surg The development of a tracheocutaneous fistula (TCF) is a well-documented complication after tracheostomy, especially in chronic morbid patients, in whom tubes or cannulas are left in place over time, or in irradiated patients. Surgical treatments are therefore needed which range from simple curettage and dressings to local skin flaps, muscle flaps and, in the more complex cases, microsurgical free tissue transfers. We present a novel combined technique used to successfully treat recurrent TCFs in irradiated patients, involving a superiorly based turnover fistula flap and a sternocleidomastoid transposition flap. Thieme Medical and Scientific Publishers Pvt. Ltd. 2020-12 2020-07-28 /pmc/articles/PMC7775241/ /pubmed/33402777 http://dx.doi.org/10.1055/s-0040-1714769 Text en Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/). https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Pignatti, M.
Sapino, G.
Alicandri-Ciufelli, M.
Canzano, F.
Presutti, L.
De Santis, G.
Treatment of Recurrent Tracheocutaneous Fistulas in the Irradiated Neck with a Two Layers–Two Flaps Combined Technique
title Treatment of Recurrent Tracheocutaneous Fistulas in the Irradiated Neck with a Two Layers–Two Flaps Combined Technique
title_full Treatment of Recurrent Tracheocutaneous Fistulas in the Irradiated Neck with a Two Layers–Two Flaps Combined Technique
title_fullStr Treatment of Recurrent Tracheocutaneous Fistulas in the Irradiated Neck with a Two Layers–Two Flaps Combined Technique
title_full_unstemmed Treatment of Recurrent Tracheocutaneous Fistulas in the Irradiated Neck with a Two Layers–Two Flaps Combined Technique
title_short Treatment of Recurrent Tracheocutaneous Fistulas in the Irradiated Neck with a Two Layers–Two Flaps Combined Technique
title_sort treatment of recurrent tracheocutaneous fistulas in the irradiated neck with a two layers–two flaps combined technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7775241/
https://www.ncbi.nlm.nih.gov/pubmed/33402777
http://dx.doi.org/10.1055/s-0040-1714769
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