scholarly journals Pitfalls in the management of subglottic paragangliomas at unusual location: a case report and literature review

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Juanjuan Hu ◽  
Haiyang Wang ◽  
Jianli Chen ◽  
Xuelin Pan ◽  
Di Deng ◽  
...  
Keyword(s):  
Case Report ◽  
Mixed Type ◽  
Perforator Flap ◽  
Thyroid Tumors ◽  
Tracheal Reconstruction ◽  
Case Presentation ◽  
Thoracoacromial Artery ◽  
Second Stage ◽  
Laryngotracheal Reconstruction ◽  
Artery Perforator

Abstract Background Subglottic paragangliomas (PGs) are exceptionally rare and unpredictable, occasionally presenting at an atypical location. There are three different clinical forms of subglottic PGs: intraluminal (tracheal PGs), extraluminal (thyroid PGs) and the mixed type (both intraluminal and extraluminal, mixed-subglottic PGs). These tumors are usually misdiagnosed as other relatively common primary thyroid or laryngotracheal tumors, and the treatment is troublesome. Case presentation A 22-year-old male patient with subglottic PGs has been successively misdiagnosed as thyroid tumors and subglottic hemangiomas, and lastly underwent local extended lumpectomy and laryngotracheal reconstruction with a pedicled thoracoacromial artery perforator flap (PTAPF). The patient was decannulated successfully after the second-stage tracheal reconstruction with a local flap, and no evidence of local recurrence and distant metastasis of the tumor until now. Conclusion Subglottic PGs can be easily misdiagnosed as laryngotracheal or thyroid tumors when presented at an atypical location. It is essential for otolaryngologists and head and neck surgeons to remain vigilant against these tumors. If the tumor is not diagnosed or removed completely, patients may encounter a risk of lethal paroxysm, which is incredibly troublesome.

scholarly journals Clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction

2020 ◽  
Author(s):  
Di Deng ◽  
Feng Xu ◽  
Jifeng Liu ◽  
Bo Li ◽  
Linke Li ◽  
...  
Keyword(s):  
Clinical Application ◽  
Perforator Flap ◽  
Good Choice ◽  
Island Flap ◽  
Esophageal Reconstruction ◽  
Perforator Flaps ◽  
Tracheal Reconstruction ◽  
Thoracoacromial Artery ◽  
The Mean ◽  
Artery Perforator

Abstract Background: Large or complex trachea defects often require some tissue to reconstruct,various flaps have been reported for reconstructing this defect.However, pedicled thoracoacromial artery perforator flap have not been reported in tracheal reconstruction.Therefore,this study is to assess the efficacy and clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction.Methods: Eight patients who underwent tracheal reconstructions with pedicled TAAP flaps between December 2017 and October 2019 were retrospectively reviewed.Results: All of the pedicled TAAP flaps in our study survived. The flap size ranged from 2 cm x 5 cm to 4 cm x 10 cm, and the size of each island of one double-island flap was 2 cm x 2.5 cm. The mean thickness was 0.6 cm, and the pedicle length varied between 6 cm and 9 cm (mean 7.9 cm). The mean time of flap harvest was 17 min. The mean age of the patients was 62.4 years and five elderly patients had comorbidities,such as diabetes,hypertension and asthma. One patient received a double-island flap for tracheal and esophageal reconstruction, and the other patient received simple tracheal reconstruction. One patient died due to cancer metastasis.Six patients obtained functional recovery of breathing, except one patients who did not experience closure of the tracheostomy opening due to uncompleted I131 treatment.Conclusion: Pedicled TAAP flaps provide a short harvesting time, thin thickness and stable blood supply, and they do not require microsurgical skills. This flap is a good choice for the reconstruction of tracheal defects,especially in the aged or patients with comorbidities who are not able to tolerate prolonged surgery.

scholarly journals Clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Di Deng ◽  
Feng Xu ◽  
Jifeng Liu ◽  
Bo Li ◽  
Linke Li ◽  
...  
Keyword(s):  
Clinical Application ◽  
Cancer Metastasis ◽  
Perforator Flap ◽  
Island Flap ◽  
Esophageal Reconstruction ◽  
Perforator Flaps ◽  
Tracheal Reconstruction ◽  
Thoracoacromial Artery ◽  
The Mean ◽  
Artery Perforator

Abstract Background Large or complex trachea defects often require some tissue to reconstruct, various flaps have been reported for reconstructing this defect. However, pedicled thoracoacromial artery perforator flap have not been reported in tracheal reconstruction. Therefore, this study is to assess the efficacy and clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction. Methods Eight patients who underwent tracheal reconstructions with pedicled TAAP flaps between December 2017 and October 2019 were retrospectively reviewed. Results All of the pedicled TAAP flaps in our study survived. The flap size ranged from 2 cm × 5 cm to 4 cm × 10 cm, and the size of each island of one double-island flap was 2 cm × 2.5 cm. The mean thickness was 0.6 cm, and the pedicle length varied between 6 and 9 cm (mean 7.9 cm). The mean time of flap harvest was 17 min. The mean age of the patients was 62.4 years and five elderly patients had comorbidities, such as diabetes, hypertension and asthma. One patient received a double-island flap for tracheal and esophageal reconstruction, and the other patient received simple tracheal reconstruction. One patient died due to cancer metastasis. Six patients obtained functional recovery of breathing, except one patients who did not experience closure of the tracheostomy opening due to uncompleted I131 treatment. Conclusion Pedicled TAAP flaps provide a short harvesting time, thin thickness and stable blood supply, and they do not require microsurgical skills. This flap is a good choice for the reconstruction of tracheal defects, especially in the aged or patients with comorbidities who are not able to tolerate prolonged surgery.

scholarly journals Clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction

2020 ◽  
Author(s):  
Di Deng ◽  
Feng Xu ◽  
Jifeng Liu ◽  
Bo Li ◽  
Linke Li ◽  
...  
Keyword(s):  
Clinical Application ◽  
Perforator Flap ◽  
Island Flap ◽  
Esophageal Reconstruction ◽  
Perforator Flaps ◽  
Tracheal Reconstruction ◽  
Thoracoacromial Artery ◽  
Reconstruction Methods ◽  
The Mean ◽  
Artery Perforator

Abstract Background Large or complex trachea defects often require some tissue to reconstruct,various flaps have been reported for reconstructing this defect.However, pedicled thoracoacromial artery perforator flap have not been reported in tracheal reconstruction.Therefore,this study is to assess the efficacy and clinical application of pedicled thoracoacromial artery perforator flaps for tracheal reconstruction. Methods Eight patients who underwent tracheal reconstructions with pedicled TAAP flaps between December 2017 and October 2019 were retrospectively reviewed. Results All of the pedicled TAAP flaps in our study survived. The flap size ranged from 5 cm by 2 cm to 4 cm by 10 cm, and the size of each island of one double-island flap was 2.5 cm by 2 cm. The mean thickness was 0.6 cm, and the pedicle length varied between 6 cm and 9 cm (mean 7.9 cm). The mean time of flap harvest was 17 min. The mean age of the patients was 62.4 years and five elderly patients had comorbidities,such as diabetes,hypertension and asthma. One patient received a double-island flap for tracheal and esophageal reconstruction, and the other patient received simple tracheal reconstruction. One patient died due to cancer metastasis.Six patients obtained functional recovery of breathing, except one patients who did not experience closure of the tracheostomy opening due to uncompleted I131 treatment. Conclusion Pedicled TAAP flaps provide a hairless inner lining, short harvesting time, thin thickness and stable blood supply, and they do not require microsurgical skills. This flap is a good choice for the reconstruction of tracheal defects,especially in the aged or patients with comorbidities who are not able to tolerate prolonged surgery.

Use of thoracodorsal artery perforator flap (TAP flap) in armpit burn—Case report

Burns ◽  
2007 ◽  
Vol 33 (1) ◽  
pp. S149
Author(s):  
G.S. Salles ◽  
M. Nigro ◽  
L.H. Calomeno ◽  
E.S. Ottoboni ◽  
M. Bailak ◽  
...  
Keyword(s):  
Case Report ◽  
Perforator Flap ◽  
Thoracodorsal Artery ◽  
Thoracodorsal Artery Perforator Flap ◽  
Artery Perforator

scholarly journals The ulnar digital artery perforator flap for little finger reconstruction

2020 ◽  
Vol 7 (12) ◽  
pp. 4204
Author(s):  
Aakansh Jain ◽  
Sandesh Bharat Singh ◽  
Abhijat Mishra ◽  
A. K. Singh
Keyword(s):  
Case Report ◽  
Blood Supply ◽  
Perforator Flap ◽  
Digital Artery ◽  
Exposed Bone ◽  
Finger Reconstruction ◽  
Artery Perforator ◽  
Little Finger

An ulnar digital artery perforator flap has been used for little finger reconstruction. The flap is found to have a reliable blood supply, it is being perfused by a constant sizeable perforator. This paper helps describes a case report of a patient with injury to little finger with exposed bone for which a ulnar digital artery perforator flap was done. The position of the perforator was confirmed intraoperatively by an exploratory incision before committing to the distal incision. The flap used to cover the flexor aspect of the little finger has given good result.

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