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Right arrow Trachea and bronchi

Ann Thorac Surg 2006;81:714-716
© 2006 The Society of Thoracic Surgeons

Case report

Human Tracheal Reconstruction With a Composite Radial Forearm Free Flap and Prosthesis

Peirong Yu, MD a , * , Gary L. Clayman, DMD, MD b , Garrett L. Walsh, MD c

a Department of Plastic Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA
b Department of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA
c Department of Thoracic and Cardiovascular Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas

Accepted for publication December 16, 2004.

* Address correspondence to Dr Yu, Department of Plastic Surgery, Unit 443, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030 (Email: eirongyu{at}mdanderson.org).

Reconstruction of large tracheal defects has been largely unsuccessful. We report a novel single-stage tracheal reconstruction for a 6.5-cm long defect involving the anterior two thirds of the tracheal circumference in a patient with deeply infiltrative thyroid cancer into the tracheal lumen. The reconstruction was completed using a conduit composed of a radial forearm free flap for lining with a combined PolyMax mesh (Synthes, Paoli, PA) and Hemashield vascular graft (Boston Scientific, Natick, MA) for rigid support. At a 6-month follow-up the patient has normal swallowing and preoperative voice quality, and she maintains a patent, non-stented airway.




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