CC BY-NC-ND 4.0 · Indian J Plast Surg 2020; 53(03): 423-426
DOI: 10.1055/s-0040-1714769
Case Report

Treatment of Recurrent Tracheocutaneous Fistulas in the Irradiated Neck with a Two Layers–Two Flaps Combined Technique

1  Department of Plastic Surgery, Policlinico di Sant’Orsola, DIMES, University of Bologna, Bologna, Italy
,
G. Sapino
2  Department of Plastic Surgery, Policlinico di Modena, University of Modena and Reggio Emilia, Modena, Italy
,
M. Alicandri-Ciufelli
3  Department of Otolaryngology, Policlinico di Modena, University of Modena and Reggio Emilia, Modena, Italy
,
F. Canzano
3  Department of Otolaryngology, Policlinico di Modena, University of Modena and Reggio Emilia, Modena, Italy
,
L. Presutti
3  Department of Otolaryngology, Policlinico di Modena, University of Modena and Reggio Emilia, Modena, Italy
,
G. De Santis
2  Department of Plastic Surgery, Policlinico di Modena, University of Modena and Reggio Emilia, Modena, Italy
› Author Affiliations

Abstract

The development of a tracheocutaneous fistula (TCF) is a well-documented complication after tracheostomy, especially in chronic morbid patients, in whom tubes or cannulas are left in place over time, or in irradiated patients.

Surgical treatments are therefore needed which range from simple curettage and dressings to local skin flaps, muscle flaps and, in the more complex cases, microsurgical free tissue transfers.

We present a novel combined technique used to successfully treat recurrent TCFs in irradiated patients, involving a superiorly based turnover fistula flap and a sternocleidomastoid transposition flap.



Publication History

Publication Date:
28 July 2020 (online)

© 2020. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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