Heterotopic ossification in pedicled intercostal muscle flaps causing clinical problems

Iatrogenic tracheal injuries are uncommon, but potentially lethal and associated with significant morbidity. During esophagectomy the proximity of the trachea to esophagus makes it vulnerable to injury. The reported incidence of tracheal injury during esophagectomy ranges between 1-5%. Various methods for repairing tracheal injuries have been described in the literature. Most preferred mode of repair described is the reinforcement of the primary repair with flap cover. Most common autologous flaps used are pericardium, pleura, extra thoracic muscle flaps and intercostal muscle flaps. Other described methods for repairing tracheal injuries are primary repair without buttressing, and buttressing with gatric conduit serosal patch, graft and glue. In this study we reviewed different methods and outcome of repair described in the literature and our experienced of managing three cases.

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Experimental use of intercostal muscle flaps for repair of induced cardiac defects

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/s0022-5223(19)38627-1 ◽

1985 ◽

Vol 90 (2) ◽

pp. 261-264 ◽

Cited By ~ 7

Author(s):

Christoph Papp ◽

Paul Parker ◽

Catherine Boeheim ◽

John B. McCraw

Keyword(s):

Intercostal Muscle ◽

Muscle Flaps ◽

Cardiac Defects ◽

Experimental Use

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Intercostal Muscle Flaps

The Annals of Thoracic Surgery ◽

10.1016/j.athoracsur.2004.11.016 ◽

2005 ◽

Vol 80 (1) ◽

pp. 386 ◽

Cited By ~ 4

Author(s):

Hermes C. Grillo

Keyword(s):

Intercostal Muscle ◽

Muscle Flaps

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Repair of gastro-tracheobronchial fistula after esophagectomy for esophageal cancer using intercostal muscle and latissimus dorsi muscle flaps: a case report

Surgical Case Reports ◽

10.1186/s40792-020-00936-4 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Kazushi Miyata ◽

Masahide Fukaya ◽

Masato Nagino

Keyword(s):

Esophageal Cancer ◽

Case Report ◽

Latissimus Dorsi ◽

Latissimus Dorsi Muscle ◽

Intercostal Muscle ◽

Muscle Flaps ◽

Dorsi Muscle

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Specimen Preparation for Clinical Applications of X-Ray Microanalysis

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100135241 ◽

1990 ◽

Vol 48 (2) ◽

pp. 328-329

Author(s):

J.D. Shelburne ◽

G.M. Roomans

Keyword(s):

Carbon Coating ◽

Clinical Applications ◽

Point Of View ◽

Practical Significance ◽

Sweat Test ◽

Specimen Preparation ◽

Tissue Preparation ◽

X Ray ◽

Gallbladder Stones ◽

Clinical Problems

Proper preparative procedures are a prerequisite for the validity of the results of x-ray microanalysis of biological tissue. Clinical applications of x-ray microanalysis are often concerned with diagnostic problems and the results may have profound practical significance for the patient. From this point of view it is especially important that specimen preparation for clinical applications is carried out correctly.Some clinical problems require very little tissue preparation. Hair, nails, and kidney and gallbladder stones may be examined and analyzed after carbon coating. High levels of zinc or copper in hair may be indicative of dermatological or systemic diseases. Nail clippings may be analyzed (as an alternative to the more conventional sweat test) to confirm a diagnosis of cystic fibrosis. X-ray microanalysis in combination with scanning electron microscopy has been shown to be the most reliable method for the identification of the components of kidney or gallbladder stones.A quantitatively very important clinical application of x-ray microanalysis is the identification and quantification of asbestos and other exogenous particles in lung.

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