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Ann Thorac Surg 1986;41:636-638
© 1986 The Society of Thoracic Surgeons

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Articles

Tracheal Reconstruction with Autogenous Jejunal Microsurgical Transfer

Departments of Surgery, Plastic Surgery, and Pathology, University of Virginia Medical Center, Charlottesville, VA

Accepted for publication September 24, 1985.

^* Address reprint requests to Dr. Kron, Box 181, Department of Surgery, University of Virginia Medical Center, Charlottesville, VA 22908

Tracheal defects due to stricture formation, tracheomalacia, and neoplasms can present difficult reconstructive problems. Tracheal defects were surgically created in 6 dogs and primarily reconstructed with microsurgical free tissue transfer of autogenous jejunal segments. Primary healing was accomplished in all dogs without severe air leakage or infection. Bronchoscopy demonstrated no substantial secretions or tracheal narrowing. Gross pathological examination of the trachea revealed no evidence of tracheal disruption or infection. Direct measurements revealed no major tracheal narrowing. Microscopic examination demonstrated normal jejunal mucosa with a minimal amount of inflammatory change at the margins of the reconstruction at 6 weeks. Microvascular free tissue transfer of jejunal segments to correct cervical tracheal defects can readily be accomplished with excellent healing and maintenance of the tracheal lumen in dogs.

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