Reconstruction of the trachea with a tubed radial forearm free flap

Bernard Richard Beldholm*, M. K. Wilson, R. M. Gallagher, D. Caminer, M. J. King, A. Glanville

*Corresponding author for this work

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Background: We present the case of a patient with adenoid cystic carcinoma of the trachea who had 60 mm of the trachea excised and reconstructed with a stented radial forearm free flap. The patient was well in the immediate postoperative period with good function of the neotrachea. Problems developing after the reconstruction included proximal stricture, sputum retention, and recurrent pneumonia. Result: The patient died of malignant hypercalcemia 16 months after the reconstruction. To our knowledge this is the first reported case of a total tracheal resection and reconstruction with a combination of free tissue transfer and internal stenting. Conclusion: We conclude that tracheal reconstruction has the potential to provide a reliable airway in patients not able to be reconstructed with a primary anastomosis.

Original languageEnglish
Pages (from-to)545-550
Number of pages6
JournalJournal of Thoracic and Cardiovascular Surgery
Volume126
Issue number2
DOIs
Publication statusPublished - 1 Aug 2003
Externally publishedYes

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