Pedicled latissimus dorsi myocutaneous flap for treatment of acquired tracheo-esophageal fistula combined with tracheocutaneous fistula: A case report_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

TONG Song ¹ , LI Tao ² , WU Chuangyan ¹ ,  WANG Sihua ¹

1. Department of Thoracic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, P.R.China;
2. Department of Hand Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, P.R.China;

Corresponding author：

WANG Sihua, Email: sihua_wang@126.com

Keywords：

Postintubation tracheoesophageal fistula; tracheocutaneous fistula; tracheal resection; surgical treatment

DOI：

10.7507/1007-4848.202008078

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We reported a patient intubated for more than 30 d following brain injury, transferred to our department with tracheocutaneous fistula and a 2 cm fistula between the trachea and the esophagus. We performed tracheal resection and esophageal closure with a latissimus dorsi myocutaneous flap interposed between suture lines. The patient continued mechanical ventilation after surgery and the tracheotomy was achieved 14 d after the beginning of surgical treatment. The patient was started oral feeding and discharged on the 10 d after tracheotomy and referred to a neuromotor recovery clinic for treatment of post-traumatic sequelae.

Citation： TONG Song, LI Tao, WU Chuangyan, WANG Sihua. Pedicled latissimus dorsi myocutaneous flap for treatment of acquired tracheo-esophageal fistula combined with tracheocutaneous fistula: A case report. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2021, 28(7): 874-876. doi: 10.7507/1007-4848.202008078 Copy

1.	Camargo JJ, Machuca TN, Camargo SM, et al. Surgical treatment of benign tracheo-oesophageal fistulas with tracheal resection and oesophageal primary closure: Is the muscle flap really necessary? Eur J Cardiothorac Surg, 2010, 37(3): 576-580.
2.	Puma F, Vannucci J, Santoprete S, et al. Surgery and perioperative management for post-intubation tracheoesophageal fistula: Case series analysis. J Thorac Dis, 2017, 9(2): 278-286.
3.	Akaraviputh T, Angkurawaranon C, Phanchaipetch T, et al. Platysma myocutaneous flap interposition in surgical management of large acquired post-traumatic tracheoesophageal fistula: A case report. Int J Surg Case Rep, 2014, 5(5): 282-286.
4.	Neustater BR, Goldberg RI. Trachesophageal fistula complicating placement of a self-expanding metallic tracheal stent. Am J Gastroenterol, 1995, 90(8): 1360-1361.
5.	Mathisen DJ, Grillo HC, Wain JC, et al. Management of acquired nonmalignant tracheoesophageal fistula. Ann Thorac Surg, 1991, 52(4): 759-765.
6.	Shen KR, Allen MS, Cassivi SD, et al. Surgical management of acquired nonmalignant tracheoesophageal and bronchoesophageal fistulae. Ann Thorac Surg, 2010, 90(3): 914-918.
7.	薛希均, 全永安, 吴红, 等. 颈部多带蒂肌皮瓣成功修补巨大食管气管瘘介绍. 中华实用医学, 2003, 5(3): 95.
8.	Hammoudeh ZS, Gursel E, Baciewicz FA. Split latissimus dorsi muscle flap repair of acquired, nonmalignant, intrathoracic tracheoesophageal and bronchoesophageal fistulas. Heart Lung Circ, 2015, 24(6): e75-e78.
9.	Hayashi K, Ando N, Ozawa S, et al. Gastric tube-to-tracheal fistula closed with a latissimus dorsi myocutaneous flap. Ann Thorac Surg, 1999, 68(2): 561-562.

1. Camargo JJ, Machuca TN, Camargo SM, et al. Surgical treatment of benign tracheo-oesophageal fistulas with tracheal resection and oesophageal primary closure: Is the muscle flap really necessary? Eur J Cardiothorac Surg, 2010, 37(3): 576-580.
2. Puma F, Vannucci J, Santoprete S, et al. Surgery and perioperative management for post-intubation tracheoesophageal fistula: Case series analysis. J Thorac Dis, 2017, 9(2): 278-286.
3. Akaraviputh T, Angkurawaranon C, Phanchaipetch T, et al. Platysma myocutaneous flap interposition in surgical management of large acquired post-traumatic tracheoesophageal fistula: A case report. Int J Surg Case Rep, 2014, 5(5): 282-286.
4. Neustater BR, Goldberg RI. Trachesophageal fistula complicating placement of a self-expanding metallic tracheal stent. Am J Gastroenterol, 1995, 90(8): 1360-1361.
5. Mathisen DJ, Grillo HC, Wain JC, et al. Management of acquired nonmalignant tracheoesophageal fistula. Ann Thorac Surg, 1991, 52(4): 759-765.
6. Shen KR, Allen MS, Cassivi SD, et al. Surgical management of acquired nonmalignant tracheoesophageal and bronchoesophageal fistulae. Ann Thorac Surg, 2010, 90(3): 914-918.
7. 薛希均, 全永安, 吴红, 等. 颈部多带蒂肌皮瓣成功修补巨大食管气管瘘介绍. 中华实用医学, 2003, 5(3): 95.
8. Hammoudeh ZS, Gursel E, Baciewicz FA. Split latissimus dorsi muscle flap repair of acquired, nonmalignant, intrathoracic tracheoesophageal and bronchoesophageal fistulas. Heart Lung Circ, 2015, 24(6): e75-e78.
9. Hayashi K, Ando N, Ozawa S, et al. Gastric tube-to-tracheal fistula closed with a latissimus dorsi myocutaneous flap. Ann Thorac Surg, 1999, 68(2): 561-562.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Pedicled latissimus dorsi myocutaneous flap for treatment of acquired tracheo-esophageal fistula combined with tracheocutaneous fistula: A case report

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