Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (3): 52-57.doi: 10.6040/j.issn.1673-3770.1.2020.032

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Two-stage reconstructive strategy using a flap for non-circumferential tracheal defects

DENG Di, LIU Jun, LI Linke, WANG Ji, LIU Jifeng, LV Dan, WANG Haiyang, GAN Weigang, WANG Jun, LI Bo, CHEN Fei   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, West China Hospital, Sichuan University, Sichuan 610041, Chengdu, China
  • Online:2020-05-20 Published:2020-06-29

Abstract: Objective This study aimed to investigate the clinical value of two-stage reconstructive strategy using a flap for the treatment of non-circumferential tracheal defects. Methods Patients who underwent tracheal reconstructions with a two-stage reconstructive strategy using a flap between March 2013 and December 2018 were retrospectively evaluated. Results Thirty-seven patients, with a tracheal defect length of 6-14 tracheal rings and circumferential ratio of 1/2 to 3/4, underwent stage I surgery. Twenty-two free flaps and 15 pedicled flaps were used in the stage I surgery, and the sizes of the flap ranged from 6×4 cm to 12×9 cm. Thirty-three patients underwent stage II surgery, and the postoperative respiratory, deglutition, and articulation functions recovered satisfactorily. Conclusion The two-stage reconstructive strategy using a flap is safe and effective for the treatment of non-circumferential tracheal defects.

Key words: Tracheal defect, Two-stage reconstruction, Thyroid carcinoma, Surgical flap

CLC Number: 

  • R739.63
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