Progress of musculocutaneous flap repair in the surgical treatment for benign tracheoesophageal fistula
- VernacularTitle:肌皮瓣在良性气管食管瘘外科治疗中的应用进展
- Author:
Ao ZENG
1
;
Gening JIANG
1
;
Jie DAI
1
Author Information
1. Department of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, Shanghai, 200433, P. R. China
- Publication Type:Journal Article
- Keywords:
Tracheoesophageal fistula;
musculocutaneous flap;
sternocleidomastoid;
repair;
pectoralis major;
latissimus dorsi;
review
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2026;33(09):1482-1486
- CountryChina
- Language:Chinese
-
Abstract:
Tracheoesophageal fistula (TEF) is a disease characterized by an abnormal connection between the trachea and esophagus. Benign TEF often results from tracheal intubation injury, typically presenting as coughing exacerbated by swallowing, and can be potentially life-threatening. However, no unified surgical standard currently exists for TEF. The choice of surgical method mainly depends on the location and size of the fistula, as well as the condition of the surrounding tracheal tissue. For small-to-moderate fistulas, tracheal segmental resection with reconstruction is a classic approach. For large, complex, and refractory TEFs, musculocutaneous flap repair is considered an ideal option. This article reviews the application of several common musculocutaneous flaps—including the sternocleidomastoid, pectoralis major, and latissimus dorsi—in the repair of benign TEFs, with the aim of providing a clinical reference.
