The U- advancement Burrow's Flap in Persistent Tracheocutaneous Fistula. ~ Case Report
Manish Munjal1, Shubham Munjal1, Akashdeep Singh2
1Dept of ORLHNS, Dayanand Medical College, Ludhiana, Punjab India.
Summary
Persistent tracheo-cutaneous fistulae require surgical closure. A novel lateral U advancement Burrow
Area of Science:
- Surgical Reconstruction
- Thoracic Surgery
- Wound Healing
Background:
- Persistent tracheo-cutaneous fistulae pose significant challenges in surgical management.
- Current closure methods often involve pedicled or free flaps to repair the anterior tracheal wall.
Purpose of the Study:
- To present a novel surgical technique for repairing large trachea-cutaneous fistulae.
- To describe the development and application of the lateral U advancement Burrow's flap.
Main Methods:
- Developed a lateral U advancement Burrow's flap technique.
- Utilized the flap over the strap muscles and adjacent tracheal lateral fibrous flaps.
- Focused on reconstituting the anterior tracheal wall while preserving the tracheal lumen.
Main Results:
- Successfully repaired a large trachea-cutaneous fistula using the described flap technique.
- The method aimed to maintain the integrity of the tracheal lumen during repair.
Conclusions:
- The lateral U advancement Burrow's flap offers a viable approach for managing persistent trachea-cutaneous fistulae.
- This technique allows for effective anterior tracheal wall reconstruction without compromising airway patency.
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