ABSTRACT
Objective@#To investigate a simple and practical method for the repair of large tracheal defects. @*Methods@#From April 2015 to October 2017, 10 patients with large tracheal wall defects after thyroid carcinoma underwent two phase repair with cervical tension free flap with modified design. In the longitudinal direction of the leakage, design two pieces of random flap outside the top angle of 45°, respectively, and the side turn double flip flap to repair the leak, outward and upward forming tension, avoid collapse after healing. @*Results@#Large tracheal wall defects in 10 cases were successfully repaired, and normal respiration and language functions were recovered quickly.With following-up of 6-30 months(the medran was 12 months), the airway kept normal ventilation, no recurrence, and 1 patient with pulmonary metastasis had a stable condition. @*Conclusion@#The modified tension free flap can be used for the repair of large defects of trachea with a good efficacy.
ABSTRACT
@#Severe tracheal stenosis, which commonly results from tumor of trachea, tracheal trauma, congenital deformity constitutes a threaten for patient life, thus it needs for tracheal resection and reconstruction.For defects less than 5 cm, it can be repaired by direct end-to-end anastomosis. But for large area (more than 6 cm), it needs numerous different types of materials and techniques. These alternatives include allograft transplantation, autologous tissue transplantation, tissue engineering materials, and so on. In recent years, due to the rapid development of surgical techniques, the tracheal surgery has considerable development. In this paper, we will discuss tracheal allograft transplantation and tissue engineering trachea in tracheal replacement research progress.
ABSTRACT
Dentro de las lesiones quísticas con aire que podemos hallar en la región cervical o mediastinal superior se encuentra el divertículo traqueal. El origen del mismo pueden ser congénito o adquirido y la resolución puede ser médica o quirúgica de acuerdo a la sintomatología que ocasione. Presentamos un caso que se diagnosticó en la Tomografía Computada (TC) de un paciente que consultó por tos con expectoración recurrente que se atribuyó a tal formación. Ante el diagnóstico causal de tal sintomatología se decidió un tratamiento médico conservador.
Tracheal diverticulum was already described as an aired cystic lesion in the cervical and superior mediastinal areas by Rokitanski in 1838. It can be a congenital or acquired disorder and its treatment can be either medical or surgical. We present a case in which a tracheal diverticulum was diagnosed using computed tomography (CT) in a patient who complained of recurrent productive cough. The patient was given conservative medical treatment.
Subject(s)
Humans , Male , Aged , Diverticulum/diagnosis , Diverticulum/therapy , Trachea/injuries , Diagnostic Imaging , Tomography, Spiral ComputedABSTRACT
Objective:To investigate the effect of the musculo-periosteum flap of the sternocleidomastoideus with clavicular periosteum on the reconstruction of extensiveness laryngotracheal defect. Method: Retrospectively studied 49 patients, who admited in our department from 1996 to 2005 years for severe laryngotracheal defect. There were 28 males and 21 females aged from 15 to 69 years old (mean age was 47 years old). The causes of laryngotracheal defect were laryngotracheal stenosis(31 cases) and surgery for thyroid carcinoma invading trachea (18 cases). All of 49 cases were treated with the graft of musculo-periosteum flap of the sternocleidomastoideus with clavicular periosteum and placed a silicon T-tube stenting for 3 to 6 months. Result; All of 49 cases were successfully decannulated with recuperative normal airway patency and effective phonation. The follow up ranged from 2 to 10 years, and the effect of operation was steady. Conclusion:The musculo-periosteum flap of the sternocleidomastoideus with clavicular periosteum is an ideal graft for the reconstruction of cervical extensiveness tracheal defect.