The Annals of Thoracic Surgery, Vol 50, 485-487, Copyright © 1990 by The Society of Thoracic Surgeons
Platysma musculocutaneous flap for reconstruction of trachea in esophageal cancer
H Sodeyama, K Matsuo, K Ishizaka, C Takahashi, R Hayashi, T Kuroda and F Iida
Department of Surgery, Shinshu University School of Medicine, Matsumoto, 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.