Source:http://linkedlifedata.com/resource/pubmed/id/19461275
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2009-5-22
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pubmed:abstractText |
We treated a severe cervical fistula with a defect of tracheal cartilage using prefabrication of a corticoperiosteal flap combined with a cutaneous flap.The patient was a 16-year-old male with a cervical tracheal fistula that developed after a tracheostomy. Almost all the circumference of the trachea just below the cricoid cartilage up to the 4th tracheal cartilage had been lost.The reconstruction was performed in 2 series of operations as follows; repair of tracheal framework using a prefabricated corticoperiosteal flap, which was harvested from the femur and composed of a saphenous flap, and then complete closure using a local hinge flap and a free auricular cartilage graft. A free corticoperiosteal flap composed of a saphenous flap was transferred to the site just lateral to the defect. The corticoperiosteal flap, which has a flat shape, was bent in a reverse U-shaped semitubular fashion and the mucosal grafts were used to cover its inner surface. Two months later, the prefabricated corticoperiosteal flap and the saphenous flap were transposed leaving a part of the fistula as a tracheostoma. The remaining tracheostoma was closed secondarily. A satisfactory and stable result was obtained over an 8-year follow-up period.We believe that the procedure demonstrated here should be considered as a choice for the stable reconstruction of a cervical trachea.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
1536-3708
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
62
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
633-6
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pubmed:meshHeading |
pubmed-meshheading:19461275-Adolescent,
pubmed-meshheading:19461275-Femur,
pubmed-meshheading:19461275-Graft Survival,
pubmed-meshheading:19461275-Humans,
pubmed-meshheading:19461275-Male,
pubmed-meshheading:19461275-Neck,
pubmed-meshheading:19461275-Reconstructive Surgical Procedures,
pubmed-meshheading:19461275-Reoperation,
pubmed-meshheading:19461275-Respiratory Tract Fistula,
pubmed-meshheading:19461275-Surgical Flaps,
pubmed-meshheading:19461275-Trachea,
pubmed-meshheading:19461275-Tracheal Diseases,
pubmed-meshheading:19461275-Tracheal Stenosis,
pubmed-meshheading:19461275-Tracheostomy,
pubmed-meshheading:19461275-Wound Healing,
pubmed-meshheading:19461275-Wounds and Injuries
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pubmed:year |
2009
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pubmed:articleTitle |
Reconstruction of the cervical trachea using a prefabricated corticoperiosteal flap from the femur.
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pubmed:affiliation |
Departments of Plastic Surgery, Iwate Medical University, Morioka 020-8505, Japan.
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pubmed:publicationType |
Journal Article,
Case Reports
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