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Closure of large tracheocutaneous fistula using turn-over hinge flap and V-Y advancement flap

Published online by Cambridge University Press:  08 March 2006

Byung-Joo Lee
Affiliation:
Department of Otolaryngology, College of Medicine, Pusan National University, Pusan, Korea.
Eui-Kyung Goh
Affiliation:
Department of Otolaryngology, College of Medicine, Pusan National University, Pusan, Korea.
Soo-Geun Wang
Affiliation:
Department of Otolaryngology, College of Medicine, Pusan National University, Pusan, Korea.
So-Min Hwang
Affiliation:
Department of Plastic Surgery, College of Medicine, Pusan National University, Pusan, Korea.

Abstract

Tracheocutaneous fistula is a frequent sequel of long-term tracheostomy or tracheal fenestration. Closure of fistula is complicated by the presence of extensive scar tissue, mucopurulent secretions, and tension from insufficient advancement of adjacent soft tissue. We report two successfully closed cases of large tracheocutaneous fistulae using a hinge flap and a V-Y advancement flap.

Type
Brief Report
Copyright
© Royal Society of Medicine Press Limited 2002

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