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Ann Thorac Surg 2005;80:386
© 2005 The Society of Thoracic Surgeons


Correspondence

Intercostal Muscle Flaps

Hermes C. Grillo, MD

General Thoracic Surgical Division, Massachusetts General Hospital, Blake 1570, 55 Fruit St, Boston, MA 02141

(Email: pguerriero{at}partners.org).

To the Editor:

With respect to the article by Kwek and colleagues [1], it must be emphasized that airway stenosis due to ossification of the periosteum, which is best left on the flap, is only likely to be encountered if the flap is placed circumferentially around a tracheal (or bronchial) anastomosis. An obstructive veritable "grommet" of bone may form, as I discovered unhappily many years ago [2]. This is not likely to occur with the proper "lay-on" use of this flap for reinforcement, as was done in most of the cases cited in this article.


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  1. Kwek BH, Wain JC, Aquino SL. The radiologic appearance of intercostal muscle flap Ann Thorac Surg 2004;78:432-435.[Abstract/Free Full Text]
  2. Grillo HC. Surgery of the trachea and bronchi. Hamilton: B.C. Decker, Inc; 2004. pp. 594.




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