Laryngotracheal separation using skin flap formation: a novel surgical procedure
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Koji Fukumoto • Naoto Urushihara • Hiroaki Fukuzawa • Akihide Sugiyama • Hideki Nagae • Kentaro Watanabe • Maki Mitsunaga • Satoshi Akazawa • Shiro
- چاپ و سال / کشور: 2011
Description
Laryngotracheal separation is often performed to prevent intractable aspiration for children with severe mental and physical disabilities. However, tracheo-innominate artery fistula after surgery can occur as a severe complication and cause fatal hemorrhage. We have therefore developed a novel procedure to prevent tracheoinnominate artery fistula. Surgery was performed by making an H-shaped incision and creating skin flaps. The trachea was not raised anteriorly and the skin flaps were sutured to the trachea. We performed this procedure on nine patients, and no major complications occurred in any case. This procedure can be expected to reduce the occurrence of tracheo-innominate artery fistula.
Pediatr Surg Int (2011) 27:67–71 DOI 10.1007/s00383-010-2710-6 Published online: 16 September 2010
