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Closure of a Tracheocutaneous Fistula With a Local Turnover Flap Combined With Pregrafted Palatal Mucosa: A Case Report

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ABSTRACT

Objectives:methods:results:conclusions:: A method of closing a large tracheocutaneous fistula by a combination of a palatal mucosal graft with a turnover adiposal flap is presented. Mucosa of the same size as the tracheal defect was harvested from the hard palate and grafted just caudal to the fistula. After the mucosal graft had taken, a local flap containing the mucosal graft was turned over the tracheal defect facing the mucosa inward of the tracheal lumen. The defect caused by harvesting the flap was closed horizontally. The fistula was closed successfully, and 1 year after the operation, the patient had no airway compromise and the operative scar was inconspicuous. Although the described method is a 2-stage procedure, it can be used to simply and reliably reconstruct the mucosal layer of the tracheal lumen and overlying skin.

No MeSH data available.


Related in: MedlinePlus

First operation. (a) Schematic drawing of the first operation. Palatal mucosa was grafted just below the orifice of the fistula. Resected skin from the recipient site of the mucosal graft was grafted on the donor site of the palatal mucosa. Gray rectangles indicate skin and mucosal grafts. (b) Mucosal graft measuring 15 × 20 mm. ✽ indicates endotracheal tube.
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Figure 2: First operation. (a) Schematic drawing of the first operation. Palatal mucosa was grafted just below the orifice of the fistula. Resected skin from the recipient site of the mucosal graft was grafted on the donor site of the palatal mucosa. Gray rectangles indicate skin and mucosal grafts. (b) Mucosal graft measuring 15 × 20 mm. ✽ indicates endotracheal tube.

Mentions: Skin just below the stoma measuring 15 × 20 mm was removed, and full-thickness mucosa from the hard palate of the same size was grafted on the raw surface following the skin resection. The resected skin was grafted on the donor site of the hard palate. Tie-over gauze was fixed on both grafts (Fig 2).


Closure of a Tracheocutaneous Fistula With a Local Turnover Flap Combined With Pregrafted Palatal Mucosa: A Case Report
First operation. (a) Schematic drawing of the first operation. Palatal mucosa was grafted just below the orifice of the fistula. Resected skin from the recipient site of the mucosal graft was grafted on the donor site of the palatal mucosa. Gray rectangles indicate skin and mucosal grafts. (b) Mucosal graft measuring 15 × 20 mm. ✽ indicates endotracheal tube.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5120373&req=5

Figure 2: First operation. (a) Schematic drawing of the first operation. Palatal mucosa was grafted just below the orifice of the fistula. Resected skin from the recipient site of the mucosal graft was grafted on the donor site of the palatal mucosa. Gray rectangles indicate skin and mucosal grafts. (b) Mucosal graft measuring 15 × 20 mm. ✽ indicates endotracheal tube.
Mentions: Skin just below the stoma measuring 15 × 20 mm was removed, and full-thickness mucosa from the hard palate of the same size was grafted on the raw surface following the skin resection. The resected skin was grafted on the donor site of the hard palate. Tie-over gauze was fixed on both grafts (Fig 2).

View Article: PubMed Central - PubMed

ABSTRACT

Objectives:methods:results:conclusions:: A method of closing a large tracheocutaneous fistula by a combination of a palatal mucosal graft with a turnover adiposal flap is presented. Mucosa of the same size as the tracheal defect was harvested from the hard palate and grafted just caudal to the fistula. After the mucosal graft had taken, a local flap containing the mucosal graft was turned over the tracheal defect facing the mucosa inward of the tracheal lumen. The defect caused by harvesting the flap was closed horizontally. The fistula was closed successfully, and 1 year after the operation, the patient had no airway compromise and the operative scar was inconspicuous. Although the described method is a 2-stage procedure, it can be used to simply and reliably reconstruct the mucosal layer of the tracheal lumen and overlying skin.

No MeSH data available.


Related in: MedlinePlus