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How To Do It

A Simple Myocutaneous Flap for Short-Stump Mediastinal Tracheostomy

Division of Thoracic Surgery, Department of Surgery, Chia-Yi Christian Hospital, Chia-Yi City, Taiwan, Republic of China

Accepted for publication November 12, 2008.

^_* Address correspondence to Dr Ming-Ho Wu, 539 Jhongsiao Rd. Chia-Yi City, Taiwan, Republic of China (Email: m2201{at}mail.ncku.edu.tw).

A long, U-shaped myocutaneous flap was designed to construct mediastinal tracheostomy in patients with a short tracheal stump. The technique was used in 1 patient who had tracheal carcinoma and whose tracheal stump was 1.5 cm and in 2 patients whose posterior part of the tracheal stump was 3 cm and 5 cm, respectively, and who had advanced cervicothoracic esophageal carcinoma. The flap provides a cosmetic effect and its construction saves time in the surgery of long-segment tracheal carcinomas and locally advanced cervicothoracic esophageal carcinomas.