Tracheoesophageal Fistula Closure in a Pediatric Patient Using a Supraclavicular Artery Island Flap

Acquired tracheoesophageal fistulas can lead to large defects with fatal complications. Surgical management is challenging but necessary to prevent respiratory infections and poor weight gain. Therefore, a reliable and pliable flap like the pedicled supraclavicular artery island flap with its wide a...

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Published inPlastic and reconstructive surgery. Global open Vol. 11; no. 9; p. e5250
Main Authors Seebauer, Caroline T., Völkl, Melanie, Kunkel, Jürgen, Künzel, Julian, Kühnel, Thomas, Hofmann, Hans-Stefan, Bohr, Christopher
Format Journal Article
LanguageEnglish
Published Hagerstown, MD Lippincott Williams & Wilkins 01.09.2023
Wolters Kluwer
Subjects
Craniofacial/Pediatric
Ideas and Innovations
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Summary:Acquired tracheoesophageal fistulas can lead to large defects with fatal complications. Surgical management is challenging but necessary to prevent respiratory infections and poor weight gain. Therefore, a reliable and pliable flap like the pedicled supraclavicular artery island flap with its wide arc of rotation and robust vascularization is needed for reconstruction. We highlight the surgical technique and postoperative measures in managing a tracheoesophageal fistula due to button battery ingestion in a 9-month-old boy with the supraclavicular artery island flap. In summary, the supraclavicular artery island flap is a safe and successful tool for closure of large acquired tracheoesophageal fistulas in pediatric patients.
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ISSN:2169-7574
2169-7574
DOI:10.1097/GOX.0000000000005250