The development of a fistula between the tracheobronchial tree and oesophagus due
to nonmalignant causes is uncommon. Division of the fistula with muscle flap interposition
eliminates contact between the tracheobronchial segment and the oesophagus, theoretically
decreasing the chance of recurrence as well as providing a robust blood supply to
aid in healing. The split latissimus dorsi muscle flap is a well-suited flap for such
repairs because of the ability to simultaneously cover two separate apertures (tracheobronchial
and oesophageal). The authors describe the split latissimus dorsi muscle flap with
step-by-step technique for repair of intrathoracic aerodigestive fistulas.
Keywords
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References
- Intrathoracic muscle flaps. An account of their use in the management of 100 consecutive patients.Ann Surg. 1990; 211: 656-662
- The intramuscular neurovascular anatomy of the latissimus dorsi muscle: the basis for splitting the flap.Plast Reconstr Surg. 1981; 67: 637-641
- The split latissimus dorsi myocutaneous flap.Ann Plast Surg. 1981; 7: 272-280
- The thoracodorsal artery perforator (TDAP) flap – anatomical basis and clinical application.Ann Plast Surg. 2003; 51: 23-29
- Management of acquired nonmalignant tracheoesophageal fistula.Ann Thorac Surg. 1991; 52: 759-765
- A treatment of persistent bronchial fistula: an experimental and clinical study.Ann Surg. 1929; 90: 213-237
Article info
Publication history
Published online: January 27, 2015
Accepted:
December 24,
2014
Received in revised form:
December 22,
2014
Received:
June 29,
2014
Identification
Copyright
© 2015 Published by Elsevier Inc.
