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Updated: Oct 3, 2025

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model
Published on: April 1, 2019
Serratus Anterior-Rib Composite Flap as a Novel Approach for Tracheal Reconstruction
Kyle A Boudreaux1, Roger Bui1, Peter Horwich1
1Department of Otolaryngology/Head & Neck Surgery, LSU Health Shreveport, Shreveport, LA, USA.
Objective:
To report a novel case of tracheal reconstruction using a serratus anterior-rib composite flap.
Methods:
Case report and literature review.
Results:
A 46-year-old male with a 4 cm anterior tracheal wall defect underwent reconstruction with a serratus anterior-rib composite flap. The patient experienced excellent results regarding phonation, swallowing, and cosmesis.
Conclusion:
The serratus anterior-rib composite flap appears to be a suitable candidate for tracheal reconstruction and merits further analysis in this context. The flap's intrinsic incorporation of a perfused rib segment allows for reliable reconstruction of the neotrachea and maintenance of proximal dynamic airway support.
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