Fascia Temporalis Free Flap for Cricotracheal Reconstruction: A Novel Approach

Baujat, B.; Struk, Samuel; Lesnik, Maria; Chanel, Olivier; Barbut, J; Lefèvre, Marine; Périé, Sophie; Guily, Jean Lacau St

doi:10.1016/j.athoracsur.2017.02.078

Cited by 10 publications

(4 citation statements)

References 18 publications

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“…Cricoid enlargement procedures have also been described [26-28] and allow a surgical approach when the glottic space is involved. They consist of the insertion of a piece of cartilage in a vertical full-height incision of the posterior cricoid, which causes posterior enlargement of the cricoid space.…”

Section: Discussionmentioning

confidence: 99%

Experience with Transcordal Silicone Stents in Adult Laryngotracheal Stenosis: A Bicentric Retrospective Study

et al. 2018

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Background: Benign stenosis involving laryngeal and upper tracheal structures represents a therapeutic challenge. Open surgery and endoscopic management have to be discussed by a multidisciplinary board in order to evaluate the risk and benefit for each patient. Objective: The objective of this retrospective study was to report the experience of two French centers with transcordal silicone stents (TSS) in the endoscopic management of benign laryngotracheal stenosis (BLTS) in adults, with focus on efficacy, safety, and tolerability. Methods: We performed a retrospective chart review of all cases of BLTS treated with TSS between January 2001 and June 2017 at two tertiary centers in France: the Centre Hospitalier Régional Universitaire de Strasbourg and the Hôpital Nord de Marseille. Results: A total of 17 patients were included. Eleven had a tracheostomy at initial management which consisted of 8 T-tubes and 9 strictly endoluminal stents placements. The main complications were minor aspirations in 5 patients (29%), granulation in 3 patients (18%), migration in 2 patients (12%), and severe dysphonia in 3 patients (18%). After a mean duration of 18.3 months, 11 patients (65%) had had their TSS definitely removed, 13 patients were tracheostomy free (76%), and a TSS remained in place in 4 patients (24%). Conclusions: Adult BLTS treatment with TSS placement is associated with low morbidity and excellent clinical outcomes, with a large proportion of patients free of airway instrumentation on long-term follow-up.

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Section: Discussionmentioning

confidence: 99%

Experience with Transcordal Silicone Stents in Adult Laryngotracheal Stenosis: A Bicentric Retrospective Study

et al. 2018

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“…The FTPFF also has a predictable anatomy, a robust vascular pedicle, and may be harvested and transferred simultaneously to decrease operative times. This flap has been applied in a wide range of reconstructions including contralateral ear/scalp repairs, 12 nasal defect repairs, 15 tracheal/pharyngeal coverage, 16 as a gliding surface in coverage of nerves, tendons, and joints, 17 and for soft tissue defects of the upper and lower extremities 18 . Dissection of the FTPFF is often tedious and requires meticulous microsurgical technique, however, potential complications of alopecia and sensory nerve damage may be avoided if care is taken during harvest.…”

Section: Discussionmentioning

confidence: 99%

Implications of Free Temporoparietal Fascial Flap Reconstruction in the Pediatric Population

Jahromi

Horen

Konofaos

2021

Journal of Craniofacial Surgery

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The temporoparietal fascial flap (TPFF) is a versatile tool that can be used in the reconstruction of head and neck and distal upper and lower extremity defects. The TPFF may be harvested as a pedicle or free flap as well as with the temporalis muscle and/or adjacent calvarial bone as a composite flap. As a free flap, the TPFF has been used as a joint gliding surface with coverage of nerves and tendons, for extremity soft tissue repair, for tracheal and pharyngeal coverage and for defects of the nose, scalp, and auricle. This article focuses on the use of the free TPFF in the pediatric population through systemic review of the medical literature. Current perspectives on the use of this flap and microsurgery in general in pediatric patients are addressed.

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“…Thin flaps are required for aesthetically significant areas, such as in facial and hand reconstruction. In order to cover the surface with a pliable and thin flap in an aesthetically pleasing manner, fascial free flaps with a skin graft were traditionally used [ 5 , 6 ]. In addition to aesthetic considerations, thin flaps are frequently required for functional reasons.…”

Section: Discussionmentioning

confidence: 99%

Thin elevation: A technique for achieving thin perforator flaps

2018

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Elevating thin flaps has long been a goal of reconstructive surgeons. Thin flaps have numerous advantages in reconstruction. In this study, we present a surgical method for elevating a thin flap and demonstrate the safety of the procedure. A retrospective review was performed of the electronic medical records of patients who underwent thin flap elevation for lower extremity reconstruction from April 2016 to September 2016 at the Department of Plastic Surgery of Asan Medical Center. All flaps included in this study were elevated above the superficial fascia. A total of 15 superficial circumflex iliac artery free flaps and 13 anterolateral thigh free flaps were enrolled in the study. The total complication rate was 17.56% (n=5), with total loss of the flap in one patient (3.57%) and partial necrosis of the flap in four patients (14.28%). No wound dehiscence or graft loss at the donor wound took place. Elevation above the superficial fascia is not inferior in terms of flap necrosis risk and is superior for reducing donor site morbidity. In addition to its safety, it yields good aesthetic results.

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Fascia Temporalis Free Flap for Cricotracheal Reconstruction: A Novel Approach

Abstract: This one-stage procedure provides a reliable construct to substitute for large tracheal defects, even in areas previously exposed to an operation or radiotherapy.

Cited by 10 publications

References 18 publications

Experience with Transcordal Silicone Stents in Adult Laryngotracheal Stenosis: A Bicentric Retrospective Study

Experience with Transcordal Silicone Stents in Adult Laryngotracheal Stenosis: A Bicentric Retrospective Study

Implications of Free Temporoparietal Fascial Flap Reconstruction in the Pediatric Population

Thin elevation: A technique for achieving thin perforator flaps

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