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Ann Thorac Surg 2006;82:1953-1954
© 2006 The Society of Thoracic Surgeons


Correspondence

Reply

Peirong Yu, MD, MS

The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd, 443, Houston, TX 77030

(Email: peirongyu@mdanderson.org).

The first 20% of the full text of this article appears below.

To the Editor:

Thanks for inviting me to reply to the letter by Galetta and Spaggiari [1]. In their letter, Galetta and Spaggiari [1] reported a case of a 37-year-old man who underwent tracheal reconstruction consisting of skin grafts wrapped around with an omental flap. An intraluminal stent was inserted when stenosis developed, and the patient tolerated the stent for 3 years before dying of recurrent disease. The authors are to be congratulated for this good long-term result. Our experience with such stents, however, has not been so positive.

Since our first case report [2], we have performed six more tracheal reconstructions for large defects using radial forearm free flaps as lining and prostheses to suspend the flaps to prevent collapse. In 1 obese patient, the flap was too thick, which required placement of an intraluminal stent under bronchoscopic guidance. In another patient with a circumferential defect, the . . . [Full Text of this Article]


Related Article

Tracheal Reconstruction for a Long Tracheal Resection
Domenico Galetta and Lorenzo Spaggiari
Ann. Thorac. Surg. 2006 82: 1953. [Extract] [Full Text] [PDF]






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