Simultaneous tracheal and esophageal reconstruction for thyroid cancer involving trachea and esophagus using a free bipaddled posterior tibial artery perforator flap

• DOI: 10.1002/hed.25850
• Publication Date: 2019-06-26T05:10:50Z
• Authors: Jun Liu; Jianjun Ren; Dan Lv; Ji Wang; Di Deng; Linke Li; Haiyang Wang; Fei Chen
• Keywords: Plastic Surgery Procedures; Free Tissue Flaps; 3. Good health; Trachea; 03 medical and health sciences; Esophagus; 0302 clinical medicine; Thyroid Cancer, Papillary; Humans; Operative Techniques; Female; Thyroid Neoplasms; Perforator Flap; Aged

AbstractBackgroundSimultaneous tracheal and esophageal reconstruction after tumor resection is a great challenge. Here we present an innovative operative technique to simultaneously reconstruct tracheal and esophageal defects, in which a free posterior tibial artery perforator flap was made into a free bipaddled flap to cover both tracheal and esophageal defects.MethodsA free bipaddled posterior tibial artery perforator flap was utilized to conduct simultaneous tracheal and esophageal reconstruction for a 72‐year‐old female patient with papillary thyroid carcinoma and massive trachea and esophagus invasion, who underwent radical resection.ResultsSatisfactory breathing and swallowing functions were gained independent of nasal feeding and tracheotomy. Voice was still hoarse due to tumor invasion of left recurrent laryngeal nerve. During a period of 2‐year follow‐up, no sign of tumor recurrence was observed.ConclusionA free bipaddled posterior tibial artery perforator flap could be a decent choice for simultaneous reconstruction of large tracheal and esophageal defects.