Closure of tracheoesophageal puncture with pedicled fascia flap of the sternocleidomastoid muscle

Koichiro Wasano; Noriomi Suzuki; Taiji Kawasaki; Sayuri Yamamoto; Shujiro Minami; Taku Yamashita; Kaoru Ogawa

doi:10.1016/j.anl.2015.02.004

Closure of tracheoesophageal puncture with pedicled fascia flap of the sternocleidomastoid muscle

Koichiro Wasano, Noriomi Suzuki, Taiji Kawasaki, Sayuri Yamamoto, Shujiro Minami, Taku Yamashita, Kaoru Ogawa

Department of Otorhinolaryngology

Research output: Contribution to journal › Article › peer-review

5 Citations (Scopus)

Abstract

Objective: Closure of a tracheoesophageal puncture (TEP) formed during voice prosthesis implantation may sometimes be required. We report a new method of closure that we have termed the RESET method. Methods: We used the RESET method for four patients. An initial incision was made at the mucocutaneous junction of the tracheostoma, and the trachea and esophagus were separated. The TEP was sectioned, and the tracheal and esophageal sides were sutured into separate layers. A pedicled fascia flap lifted from the sternocleidomastoid muscle was sandwiched between the trachea and the esophagus, and subsequently secured. Results: The TEP was closed in all patients, and no complications were observed. Conclusion: The RESET method, using a pedicled fascia flap with stable perfusion, is a simple, reliable method of TEP closure.

Original language	English
Pages (from-to)	318-321
Number of pages	4
Journal	Auris Nasus Larynx
Volume	42
Issue number	4
DOIs	https://doi.org/10.1016/j.anl.2015.02.004
Publication status	Published - 2015 Aug 1

Keywords

Pedicled fascia flap
Sternocleidomastoid muscle
Tracheoesophageal puncture
Voice prosthesis

ASJC Scopus subject areas

Surgery
Otorhinolaryngology

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10.1016/j.anl.2015.02.004

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title = "Closure of tracheoesophageal puncture with pedicled fascia flap of the sternocleidomastoid muscle",

abstract = "Objective: Closure of a tracheoesophageal puncture (TEP) formed during voice prosthesis implantation may sometimes be required. We report a new method of closure that we have termed the RESET method. Methods: We used the RESET method for four patients. An initial incision was made at the mucocutaneous junction of the tracheostoma, and the trachea and esophagus were separated. The TEP was sectioned, and the tracheal and esophageal sides were sutured into separate layers. A pedicled fascia flap lifted from the sternocleidomastoid muscle was sandwiched between the trachea and the esophagus, and subsequently secured. Results: The TEP was closed in all patients, and no complications were observed. Conclusion: The RESET method, using a pedicled fascia flap with stable perfusion, is a simple, reliable method of TEP closure.",

keywords = "Pedicled fascia flap, Sternocleidomastoid muscle, Tracheoesophageal puncture, Voice prosthesis",

author = "Koichiro Wasano and Noriomi Suzuki and Taiji Kawasaki and Sayuri Yamamoto and Shujiro Minami and Taku Yamashita and Kaoru Ogawa",

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year = "2015",

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doi = "10.1016/j.anl.2015.02.004",

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T1 - Closure of tracheoesophageal puncture with pedicled fascia flap of the sternocleidomastoid muscle

AU - Wasano, Koichiro

AU - Suzuki, Noriomi

AU - Kawasaki, Taiji

AU - Yamamoto, Sayuri

AU - Minami, Shujiro

AU - Yamashita, Taku

AU - Ogawa, Kaoru

PY - 2015/8/1

Y1 - 2015/8/1

N2 - Objective: Closure of a tracheoesophageal puncture (TEP) formed during voice prosthesis implantation may sometimes be required. We report a new method of closure that we have termed the RESET method. Methods: We used the RESET method for four patients. An initial incision was made at the mucocutaneous junction of the tracheostoma, and the trachea and esophagus were separated. The TEP was sectioned, and the tracheal and esophageal sides were sutured into separate layers. A pedicled fascia flap lifted from the sternocleidomastoid muscle was sandwiched between the trachea and the esophagus, and subsequently secured. Results: The TEP was closed in all patients, and no complications were observed. Conclusion: The RESET method, using a pedicled fascia flap with stable perfusion, is a simple, reliable method of TEP closure.

AB - Objective: Closure of a tracheoesophageal puncture (TEP) formed during voice prosthesis implantation may sometimes be required. We report a new method of closure that we have termed the RESET method. Methods: We used the RESET method for four patients. An initial incision was made at the mucocutaneous junction of the tracheostoma, and the trachea and esophagus were separated. The TEP was sectioned, and the tracheal and esophageal sides were sutured into separate layers. A pedicled fascia flap lifted from the sternocleidomastoid muscle was sandwiched between the trachea and the esophagus, and subsequently secured. Results: The TEP was closed in all patients, and no complications were observed. Conclusion: The RESET method, using a pedicled fascia flap with stable perfusion, is a simple, reliable method of TEP closure.

KW - Pedicled fascia flap

KW - Sternocleidomastoid muscle

KW - Tracheoesophageal puncture

KW - Voice prosthesis

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JO - Auris Nasus Larynx

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ER -

Closure of tracheoesophageal puncture with pedicled fascia flap of the sternocleidomastoid muscle

Abstract

Keywords

ASJC Scopus subject areas

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