The development of a tracheocutaneous fistula (TCF) is a well-documented complication after tracheostomy, especially in chronic morbid patients, in whom tubes or cannulas are left in place over time, or in irradiated patients. Surgical treatments are therefore needed which range from simple curettage and dressings to local skin flaps, muscle flaps and, in the more complex cases, microsurgical free tissue transfers. We present a novel combined technique used to successfully treat recurrent TCFs in irradiated patients, involving a superiorly based turnover fistula flap and a sternocleidomastoid transposition flap.

Pignatti, M., Sapino, G., Alicandri-Ciufelli, M., Canzano, F., Presutti, L., De Santis, G. (2020). Treatment of Recurrent Tracheocutaneous Fistulas in the Irradiated Neck with a Two Layers–Two Flaps Combined Technique. INDIAN JOURNAL OF PLASTIC SURGERY, 2020, 1-4 [10.1055/s-0040-1714769].

Treatment of Recurrent Tracheocutaneous Fistulas in the Irradiated Neck with a Two Layers–Two Flaps Combined Technique

Pignatti, M.
;
Presutti, L.;De Santis, G.
2020

Abstract

The development of a tracheocutaneous fistula (TCF) is a well-documented complication after tracheostomy, especially in chronic morbid patients, in whom tubes or cannulas are left in place over time, or in irradiated patients. Surgical treatments are therefore needed which range from simple curettage and dressings to local skin flaps, muscle flaps and, in the more complex cases, microsurgical free tissue transfers. We present a novel combined technique used to successfully treat recurrent TCFs in irradiated patients, involving a superiorly based turnover fistula flap and a sternocleidomastoid transposition flap.
2020
Pignatti, M., Sapino, G., Alicandri-Ciufelli, M., Canzano, F., Presutti, L., De Santis, G. (2020). Treatment of Recurrent Tracheocutaneous Fistulas in the Irradiated Neck with a Two Layers–Two Flaps Combined Technique. INDIAN JOURNAL OF PLASTIC SURGERY, 2020, 1-4 [10.1055/s-0040-1714769].
Pignatti, M.; Sapino, G.; Alicandri-Ciufelli, M.; Canzano, F.; Presutti, L.; De Santis, G.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/768290
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