Long-Segment Tracheal Reconstruction With Free Radial Forearm Flap Reinforced by Rib Cartilage

We report here two cases of complex tracheal reconstruction with a modification of this technique, which consists of the creation of two independent skin paddles to allow the reconstruction of the trachea and a second adjacent defect (eg, cervical skin, esophagus). Airway patency was achieved with no stenosis, prolonged stenting, fistula, or necrosis after 26 and 44 months, respectively. We suggest that the satisfactory outcome obtained with this modified technique is a valuable option for tracheal and adjacent defect reconstruction without the need for a second flap.

Source: Annals of Plastic Surgery - April 11, 2018 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research