Chimeric Thoracoacromial Artery Perforator Flap for One-Staged Reconstruction of Complex Pharyngoesophageal Defects

2021 ◽  
pp. 257-261
Author(s):  
Xiao Zhou ◽  
Zan Li ◽  
Dajiang Song
Keyword(s):  
Perforator Flap ◽  
Thoracoacromial Artery ◽  
Staged Reconstruction ◽  
Artery Perforator

Chimeric thoracoacromial artery perforator flap for one-staged reconstruction of complex pharyngoesophageal defects: A single unit experience

Head & Neck ◽  
2017 ◽  
Vol 40 (2) ◽  
pp. 302-311 ◽  
Author(s):  
Dajiang Song ◽  
Georgios Pafitanis ◽  
Luis Eduardo Parra Pont ◽  
Peng Yang ◽  
Isao Koshima ◽  
...  
Keyword(s):  
Single Unit ◽  
Perforator Flap ◽  
Thoracoacromial Artery ◽  
Staged Reconstruction ◽  
Artery Perforator

scholarly journals Clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction

2020 ◽  
Author(s):  
Di Deng ◽  
Feng Xu ◽  
Jifeng Liu ◽  
Bo Li ◽  
Linke Li ◽  
...  
Keyword(s):  
Clinical Application ◽  
Perforator Flap ◽  
Good Choice ◽  
Island Flap ◽  
Esophageal Reconstruction ◽  
Perforator Flaps ◽  
Tracheal Reconstruction ◽  
Thoracoacromial Artery ◽  
The Mean ◽  
Artery Perforator

Abstract Background: Large or complex trachea defects often require some tissue to reconstruct,various flaps have been reported for reconstructing this defect.However, pedicled thoracoacromial artery perforator flap have not been reported in tracheal reconstruction.Therefore,this study is to assess the efficacy and clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction.Methods: Eight patients who underwent tracheal reconstructions with pedicled TAAP flaps between December 2017 and October 2019 were retrospectively reviewed.Results: All of the pedicled TAAP flaps in our study survived. The flap size ranged from 2 cm x 5 cm to 4 cm x 10 cm, and the size of each island of one double-island flap was 2 cm x 2.5 cm. The mean thickness was 0.6 cm, and the pedicle length varied between 6 cm and 9 cm (mean 7.9 cm). The mean time of flap harvest was 17 min. The mean age of the patients was 62.4 years and five elderly patients had comorbidities,such as diabetes,hypertension and asthma. One patient received a double-island flap for tracheal and esophageal reconstruction, and the other patient received simple tracheal reconstruction. One patient died due to cancer metastasis.Six patients obtained functional recovery of breathing, except one patients who did not experience closure of the tracheostomy opening due to uncompleted I131 treatment.Conclusion: Pedicled TAAP flaps provide a short harvesting time, thin thickness and stable blood supply, and they do not require microsurgical skills. This flap is a good choice for the reconstruction of tracheal defects,especially in the aged or patients with comorbidities who are not able to tolerate prolonged surgery.

Versatility of the Thoracoacromial Artery Perforator Flap in Head and Neck Reconstruction

2014 ◽  
Vol 30 (07) ◽  
pp. 497-504 ◽  
Author(s):  
L. Levin ◽  
Xiao Zhou ◽  
Giuseppe Spinelli ◽  
Davide Lazzeri ◽  
Paolo Persichetti ◽  
...  
Keyword(s):  
Head And Neck ◽  
Perforator Flap ◽  
Head And Neck Reconstruction ◽  
Thoracoacromial Artery ◽  
Neck Reconstruction ◽  
Artery Perforator

scholarly journals Pitfalls in the management of subglottic paragangliomas at unusual location: a case report and literature review

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Juanjuan Hu ◽  
Haiyang Wang ◽  
Jianli Chen ◽  
Xuelin Pan ◽  
Di Deng ◽  
...  
Keyword(s):  
Case Report ◽  
Mixed Type ◽  
Perforator Flap ◽  
Thyroid Tumors ◽  
Tracheal Reconstruction ◽  
Case Presentation ◽  
Thoracoacromial Artery ◽  
Second Stage ◽  
Laryngotracheal Reconstruction ◽  
Artery Perforator

Abstract Background Subglottic paragangliomas (PGs) are exceptionally rare and unpredictable, occasionally presenting at an atypical location. There are three different clinical forms of subglottic PGs: intraluminal (tracheal PGs), extraluminal (thyroid PGs) and the mixed type (both intraluminal and extraluminal, mixed-subglottic PGs). These tumors are usually misdiagnosed as other relatively common primary thyroid or laryngotracheal tumors, and the treatment is troublesome. Case presentation A 22-year-old male patient with subglottic PGs has been successively misdiagnosed as thyroid tumors and subglottic hemangiomas, and lastly underwent local extended lumpectomy and laryngotracheal reconstruction with a pedicled thoracoacromial artery perforator flap (PTAPF). The patient was decannulated successfully after the second-stage tracheal reconstruction with a local flap, and no evidence of local recurrence and distant metastasis of the tumor until now. Conclusion Subglottic PGs can be easily misdiagnosed as laryngotracheal or thyroid tumors when presented at an atypical location. It is essential for otolaryngologists and head and neck surgeons to remain vigilant against these tumors. If the tumor is not diagnosed or removed completely, patients may encounter a risk of lethal paroxysm, which is incredibly troublesome.

Thoracoacromial Artery Perforator Flap

2013 ◽  
Vol 131 (5) ◽  
pp. 759e-770e ◽  
Author(s):  
Yi Xin Zhang ◽  
Hu Yongjie ◽  
Caroline Messmer ◽  
Yee Siang Ong ◽  
Zan Li ◽  
...  
Keyword(s):  
Perforator Flap ◽  
Thoracoacromial Artery ◽  
Artery Perforator
Sign in / Sign up

Export Citation Format

Share Document