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Reconstruction of a Posterior Tracheal Wall Defect With a Myocutaneous Pectoralis Major Flap After Salvage Cervical Exenteration for a Squamous Carcinoma of the Upper Third of the Esophagus

Salmerón-González, Enrique, MD; García-Vilariño, Elena, MD; Antolin-Santamaria, Pedro A., MD; Sanchez-Garcia, Alberto, MD; Valverde-Navarro, Alfonso A., PhD

doi: 10.1097/PSN.0000000000000242
Departments: Reconstruction Department

In this article, we describe the case of a 59-year-old patient suffering from a squamous cell carcinoma affecting the upper third of the esophagus, treated with a cervical exenteration with extended resection of the posterior wall of the trachea, which was reconstructed with a gastric tube transposition and a myocutaneous pectoralis major flap for coverage of the gastropharyngeal anastomosis and stabilization of the posterior tracheal wall. Also, a review of literature regarding posterior tracheal wall reconstruction is performed.

Enrique Salmerón-González, MD, Plastic Surgeon, Plastic and Reconstructive Surgery Department, University and Polytechnic Hospital La Fe, Valencia, Spain.

Elena García-Vilariño, MD, Plastic Surgeon, Plastic and Reconstructive Surgery Department, University and Polytechnic Hospital La Fe, Valencia, Spain.

Pedro A. Antolin-Santamaria, MD, Plastic Surgeon, Plastic and Reconstructive Surgery Department, University and Polytechnic Hospital La Fe, Valencia, Spain.

Alberto Sanchez-Garcia, MD, Plastic Surgeon, Plastic and Reconstructive Surgery Department, University and Polytechnic Hospital La Fe, Valencia, Spain.

Alfonso A. Valverde-Navarro, PhD, Director, Department of Human Anatomy and Embryology, University of Valencia, Spain.

Address correspondence to Enrique Salmerón-González, MD, Francia Avenue, Number 45, Stairs 2, Door 25, Valencia, Comunidad Valenciana, Postal Code: 46023, Spain (e-mail: EnrikeS900@gmail.com).

The authors report no conflicts of interest.

Copyright © 2018 by American Society of Plastic Surgical Nurses