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Ann Thorac Surg 2009;87:608-610. doi:10.1016/j.athoracsur.2008.06.062
© 2009 The Society of Thoracic Surgeons

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Case Reports

Tracheal Reconstruction With the Use of Radial Forearm Free Flap Combined With Biodegradative Mesh Suspension

Adam Maciejewski, MD, PhD*, Cezary Szymczyk, MD, Stanislaw Póltorak, MD, Maciej Grajek, MD

Department of Oncologic and Reconstructive Surgery, Centre of Oncology, M. Sklodowska-Curie Memorial Institute, Branch Gliwice, Gliwice, Poland

Accepted for publication June 19, 2008.

* Address correspondence to Dr Maciejewski, Department of Oncologic Surgery, Centre of Oncology, Wybrzeze Armii Krajowej 15, Gliwice, 44-101, Poland (Email: adammac{at}o2.pl).

The main aim of tracheal restoration is to provide a noncollapsible construction with a functional epithelial lining and well-vascularized coverage. The authors present the case of a successful tracheal reconstruction in a patient with recurrent thyroid gland cancer infiltrating the trachea. The free radial forearm flap was formed as a tube and suspended to the mesh rings placed outside. Currently the patient has no problems with breathing.







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