The tracheostoma reconstruction using the navel of the extended recutus abdominal musculocutaneous flap

概要

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The reconstruction of the tracheostoma has been famous for Grillo's technic. However, this technique has many problems as the irradiation therapies, because they had to use the flaps near the tracheostoma. Since 1990, we have done the reconstruction of the tracheostoma incising the center of the skin island of the axial pattern flaps as latissimus dorsi muscurocutaneus flaps. This time, we have done tracheostoma reconstruction using the navel of the extended recutus abdominal musculocutaneus flap. Because the navel is collapsed, so we can suture tracheres with no tension. As a navel is a so called physiological scar tissue, it is possible to cut a navel with enough blood supply. Extended recutus abdominal musculocutaneous flaps are large enough to the tracheostoma reconstruction with the chest and neck skin defects.
特定非営利活動法人日本頭頸部外科学会の論文