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Ann Thorac Surg 1990;50:485-487
© 1990 The Society of Thoracic Surgeons

Articles

Platysma musculocutaneous flap for reconstruction of trachea in esophageal cancer

Harutsugu Sodeyama, MD*, Kiyoshi Matsuo, MD, Katsuhiko Ishizaka, MD, Chiharu Takahashi, MD, Reiko Hayashi, MD, Takai Kuroda, MD, Futoshi Iida, MD

Departments of Surgery and Plastic Surgery, Shinshu University School of Medicine, Matsumoto, Japan

Accepted for publication May 16, 1990.

* Address reprint requests to Dr Sodeyama, Department of Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, 390 Japan.

In 2 patients with advanced cervical esophageal cancer invading the trachea, total laryngoesophagectomy with resection of the posterior portion of the trachea and lymph node dissection of the bilateral neck and superior mediastinum was carried out. The partial defect in the trachea was repaired with a platysma musculocutaneous flap. A permanent tracheostoma, composed of the tracheal remnant anteriorly and the platysma musculocutaneous flap posteriorly, was made just over the manubrium sterni.






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