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Year : 2021  |  Volume : 5  |  Issue : 1  |  Page : 42-45

Closure of irradiated tracheocutaneous fistula with pectoralis major muscle flap and split skin graft

Department of Plastic Surgery, M S Ramaiah Medical College Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Dr. George Taliat
Department of Plastic Surgery, M S Ramaiah Medical College Hospital, New BEL Road, M S Ramaiah Nagar, MSRIT Post, Bengaluru - 560 054, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/aiao.aiao_8_21

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Tracheocutaneous fistula in an irradiated neck is often difficult to manage. Simple closure often leads to dehiscence and recurrence. We present a patient with supraglottic carcinoma, postradiotherapy, who presented with a persistent trachea-cutaneous fistula. We excised the fistula along with surrounding indurated tissue and covered the defect adequately with skin graft for tracheal lining and pectoralis muscle flap as a muscle cover. Fistula was closed and wound healed well. There was no recurrence of fistula as evidenced with indirect laryngoscopy. Pectoralis major flap is a well-vascularized flap that can be used to cover defects in anterior lower neck. Simple skin graft with a cover of muscle flap was enough to give adequate tracheal lining.

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