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Verfasst von:Riedel, Frank [VerfasserIn]   i
 Gößler, Ulrich [VerfasserIn]   i
 Grupp, Stephan [VerfasserIn]   i
 Bran, Gregor M. [VerfasserIn]   i
 Hörmann, Karl [VerfasserIn]   i
 Verse, Thomas [VerfasserIn]   i
Titel:Management of radiation-induced tracheocutaneous tissue defects by transplantation of an ear cartilage graft and deltopectoral flap
Verf.angabe:Frank Riedel, Ulrich Reinhart Goessler, Stephan Grupp, Gregor Bran, Karl Hörmann, Thomas Verse (Department of Otolaryngology, Head and Neck Surgery, University Hospital Mannheim, University of Heidelberg)
E-Jahr:2006
Jahr:[March 2006]
Umfang:6 S.
Illustrationen:Illustrationen
Fussnoten:Gesehen am 11.03.2022
Titel Quelle:Enthalten in: Auris, nasus, larynx
Ort Quelle:Amsterdam [u.a.] : Elsevier Science, 1974
Jahr Quelle:2006
Band/Heft Quelle:33(2006), 1 vom: März, Seite 79-84
ISSN Quelle:1879-1476
Abstract:Patients suffering from head and neck cancer often require temporary tracheostomy during therapy. The tracheostomy can usually be closed when postoperative swelling decreases and swallowing ability recovers. However, some patients, especially after adjuvant radiotherapy, may develop severe chronic wounds resulting in persistent tracheocutaneous fistula. Local wound care and plastic reconstruction strategies are required in such cases. We present two patients with head and neck cancer treated with primary surgical regimen including temporary tracheostomy and adjuvant radiotherapy. Both patients developed a persistent, poorly healing wound with persistent tracheocutaneous tissue defect. After local debridement and wound care, the peristomal necrotic tissue was excised down to the level of the trachea. The defect of the anterior tracheal wall was closed with a autogenous ear cartilage graft. The graft was harvested from the cavum conchae and sutured to the tracheal defect. The soft tissue defect was covered by transposition of a well-vascularized, fasciocutaneous deltopectoral flap. In both cases, the flaps healed satisfactorily. The donor defect was closed primarily. Complications were not observed in these two cases. A flexible tracheo-bronchoscopy showed no stenosis of the trachea at the site of cartilage graft transplantation. In conclusion, treatment of persistent radiated tracheocutaneous defects by cartilage graft and deltopectoral flap turned out to be a safe and reliable procedure which can be performed as a one-stage method with low morbidity at the donor site.
DOI:doi:10.1016/j.anl.2005.07.014
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1016/j.anl.2005.07.014
 Volltext: https://www.sciencedirect.com/science/article/pii/S0385814605001197
 DOI: https://doi.org/10.1016/j.anl.2005.07.014
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Deltopectoral flap
 Ear Cartilage graft
 Head and neck cancer
 Non-healing wound
 Radiotherapy
K10plus-PPN:1795362650
Verknüpfungen:→ Zeitschrift

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