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The use of a prefabricated radial forearm free flap for closure of a large tracheocutaneous fistula: a case report and review of the literature

Overview of attention for article published in Journal of Medical Case Reports, November 2015
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Title
The use of a prefabricated radial forearm free flap for closure of a large tracheocutaneous fistula: a case report and review of the literature
Published in
Journal of Medical Case Reports, November 2015
DOI 10.1186/s13256-015-0728-z
Pubmed ID
Authors

Allison K. Royer, Mark C. Royer, Jonathan Y. Ting, Edward C. Weisberger, Michael G. Moore

Abstract

The closure of complex tracheocutaneous fistulae is a surgical challenge. We describe a staged approach for management of a patient with a large tracheocutaneous fistula in the setting of prior surgery and local radiation therapy. A 66-year-old Caucasian man who had undergone prior surgery and radiation therapy to the lower neck presented to our hospital for treatment of a large tracheocutaneous fistula that had developed with an adjacent area of tracheal stenosis. A prefabricated composite graft made up of an inner mucosal lining (buccal mucosa), a central cartilage structure (conchal cartilage), and external skin lining was constructed on the patient's distal volar forearm and subsequently harvested in a staged fashion. This graft was transferred as a free flap and successfully used to close the patient's defect following revascularization. Sixty months after surgery, the patient had no airway compromise or new dysphonia. The use of a prefabricated mucosally lined composite graft can allow for successful closure of large tracheocutaneous fistulae, even in the setting of prior radiation therapy.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 2 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 2 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 1 50%
Student > Doctoral Student 1 50%
Readers by discipline Count As %
Medicine and Dentistry 2 100%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 29 June 2016.
All research outputs
#6,893,093
of 7,965,219 outputs
Outputs from Journal of Medical Case Reports
#1,061
of 1,459 outputs
Outputs of similar age
#201,584
of 242,493 outputs
Outputs of similar age from Journal of Medical Case Reports
#26
of 44 outputs
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