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Treating tracheo-innominate artery fistula with interposition of a pectoralis major myocutaneous flap

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Abstract

Tracheo-innominate artery fistula (TIF) is an uncommon life-threatening complication of tracheostomy. A prompt diagnosis and surgical intervention can save the life of a TIF patient. Several methods of reconstructing the tracheal defect have been reported, but may not be available in the presence of extensive infection. We used a trough and pectoralis major myocutaneous flap to treat a TIF patient with a large tracheal defect and severe infection who had to be ventilated mechanically. This may be a useful option in the treatment of this rare, devastating complication of tracheostomy.

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Authors and Affiliations

  1. Department of Otolaryngology and Head and Neck Surgery, Cancer Research Institute of the Chungnam National University College of Medicine, 640 Daesa-Dong Chung-Gu Daejeon, 301-040, Daejeon, South Korea

    Jong-Lyel Roh

  2. Department of Thoracic Cardiovascular Surgery, Cancer Research Institute of the Chungnam National University College of Medicine, Daejeon, South Korea

    Myung-Hoon Na

  3. Department of Otolaryngology and Head and Neck Surgery, Cancer Research Institute and Clinical Research Institute of Seoul National University College of Medicine, Seoul, South Korea

    Kwang Hyun Kim

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  1. Jong-Lyel Roh
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  2. Myung-Hoon Na
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  3. Kwang Hyun Kim
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Correspondence to Jong-Lyel Roh.

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Roh, JL., Na, MH. & Kim, K.H. Treating tracheo-innominate artery fistula with interposition of a pectoralis major myocutaneous flap. Eur Arch Otorhinolaryngol 263, 180–182 (2006). https://doi.org/10.1007/s00405-005-0976-4

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  • DOI: https://doi.org/10.1007/s00405-005-0976-4

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