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Right arrow Trachea and bronchi

Ann Thorac Surg 2007;83:1213-1215
© 2007 The Society of Thoracic Surgeons

How To Do It

Long-Segment Tracheal Stenosis Treated with Vascularized Mucosa and Short-Term Stenting

Steven Stamenkovic, MDa, Robert Hierner, MD, PhDb, Paul De Leyn, MD, PhDa, Pierre Delaere, MD, PhDc,*

a Department of Thoracic Surgery, University Hospital K. U. Leuven, Leuven, Belgium
b Department of Plastic, Reconstructive, and Aesthetic Surgery, University Hospital K. U. Leuven, Leuven, Belgium
c Department of Otolaryngology Head and Neck Surgery, University Hospital K. U. Leuven, Leuven, Belgium

Accepted for publication April 6, 2006.

* Address correspondence to Dr Delaere, Department of Otolaryngology Head and Neck Surgery, University Hospital K. U. Leuven, Kapucijnenvoer 33, Leuven, B-3000 Belgium (Email: pierre.delaere{at}uz.kuleuven.ac.be).

A free, vascularized radial forearm fascia flap lined with two full-thickness buccal mucosa grafts can be used in cases of acquired, long-segment tracheal stenosis. To compensate for the absence of supportive tissue, the reconstructive tissue has to be supported by a stent for a period of 4 weeks. A case with an airway stenosis with a length greater than 5 cm is presented. The vascularized mucosa allowed for primary healing of the augmented airway. The tracheostomy could be closed shortly after stent removal.






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