Median sternotomy and use of a pedicled sternocleidomastoid muscle flap in the management of recurrent tracheoesophageal fistula

Background: Tracheoesophageal Fistula (TEF) is a rare complication after Minimally Invasive Esophagectomy (MIE). Various surgical methods are available for repairing TEF. In this report, we have shown the importance and feasibility of pedicled Sternocleidomastoid Muscle (SCMM) flap in dealing with TEF. Methods and results: A 57-year-old woman with esophageal squamous cell carcinoma underwent MIE in our hospital. TEF was diagnosed based on some clinical manifestations, like coughing after swallowing, a month after MIE. During the repair operation, we have utilized pedicled SCMM flap to cover the fistula after suturing the esophagus and trachea separately. No major complications occurred after the operation, and the prognosis was good. Conclusions: Pedicled sternocleidomastoid muscle flap was convenient, reliable and efficient in covering the fistula, therefore, we recommend it as the routine surgical method. However, randomized controlled trials are further needed to confirm this recommendation. TEF can be reconstructed with a pedicled SCMM flap. This method can effectively avoid further complications. Keywords: minimally invasive esophagectomy; esophageal cancer; tracheoesophageal fistula; sternocleidomastoid muscle.

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Using a Sternocleidomastoid Muscle Flap to Close an Iatrogenic Tracheoesophageal Fistula in a Patient With Advanced Laryngeal Cancer

Annals of Plastic Surgery ◽

10.1097/sap.0000000000001718 ◽

2019 ◽

Vol 82 ◽

pp. S126-S129 ◽

Cited By ~ 1

Author(s):

Fu-Chieh Chuang ◽

Kwang-Yi Tung ◽

Wen-Chen Huang ◽

Chia-Meng Yu ◽

Wen-Teng Yao

Keyword(s):

Laryngeal Cancer ◽

Tracheoesophageal Fistula ◽

Muscle Flap ◽

Sternocleidomastoid Muscle ◽

Sternocleidomastoid Muscle Flap

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Closure of Tracheoesophageal Fistula Using Sternocleidomastoid Muscle Flap: A Case Report

Nihon Kikan Shokudoka Gakkai Kaiho ◽

10.2468/jbes.69.33 ◽

2018 ◽

Vol 69 (1) ◽

pp. 33-37

Author(s):

Keiko Ohno ◽

Yurika Kimura ◽

Masatoki Takahashi ◽

Koh Miwa ◽

Motomu Honjyou ◽

...

Keyword(s):

Case Report ◽

Tracheoesophageal Fistula ◽

Muscle Flap ◽

Sternocleidomastoid Muscle ◽

Sternocleidomastoid Muscle Flap

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Use of a sternocleidomastoid muscle flap to protect the carotid artery during laryngectomy

The Journal of Laryngology & Otology ◽

10.1017/s0022215121001249 ◽

2021 ◽

pp. 1-4

Author(s):

J C Fleming ◽

A R Fuson ◽

H Jeyarajan ◽

C M Thomas ◽

B Greene

Keyword(s):

Carotid Artery ◽

Marked Reduction ◽

Muscle Flap ◽

Sternocleidomastoid Muscle ◽

Simple Method ◽

Initial Surgery ◽

Great Vessels ◽

Prevertebral Fascia ◽

Sternocleidomastoid Muscle Flap ◽

Salvage Laryngectomy

Abstract Objectives This paper describes a simple method of securing tissue coverage of the great vessels at the initial surgery by rotating the divided sternal heads of the sternocleidomastoid muscle, a routine step during laryngectomy, and approximating them to the prevertebral fascia. The paper presents an illustrated case example where this technique in a salvage laryngectomy repair resulted in a protected vascular axis following a salivary leak. Results Since utilising this technique, there has been a marked reduction in the requirement of subsequent flap procedures to protect vessels, and no episodes of threatened or actual carotid blowout.

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