Serratus Anterior-Rib Composite Flap as a Novel Approach for Tracheal Reconstruction. (January 2023)

• Record Type: Journal Article
• Authors: Boudreaux, Kyle A.; Bui, Roger; Horwich, Peter; Chang, Brent A.
• Is Part Of: Annals of otology, rhinology & laryngology. Volume 132:Number 1(2023)
• Page Start: 110
• Page End: 114
• Publication Date: 2023-01
• Subjects: tracheal replacement -- miscellaneous -- laryngotracheal reconstruction -- surgery -- free flap reconstruction -- microvascular reconstruction -- head and neck reconstruction; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1177/00034894211067608
• Languages: English
• ISSNs: 0003-4894

Abstract

Objective: To report a novel case of tracheal reconstruction using a serratus anterior-rib composite flap. Methods: Case report and literature review. Results: A 46-year-old male with a 4 cm anterior tracheal wall defect underwent reconstruction with a serratus anterior-rib composite flap. The patient experienced excellent results regarding phonation, swallowing, and cosmesis. Conclusion: The serratus anterior-rib composite flap appears to be a suitable candidate for tracheal reconstruction and merits further analysis in this context. The flap's intrinsic incorporation of a perfused rib segment allows for reliable reconstruction of the neotrachea and maintenance of proximal dynamic airway support.