OBJECTIVE: In the presence of acute @entity32 and @entity39 of the wall, tracheo-bronchial defects are difficult to manage. The absence of adequate vascularization and the contaminated area prevent successful direct re-suturing. METHODS: In order to restore a sufficient blood supply we used a pedicled latissimus dorsi or a pectoralis major flap that was entered into the thorax after a 10-cm resection of the second rib. A portion of the muscle was fitted into the tracheo/bronchial defect by reinforced sutures. The remaining muscle was sutured to the tissue surrounding the defect. This method was applied in various septic conditions: Bronchial defects; complete dehiscence of the right (n = 6) or left (n = 1) main bronchus at the carinal level following resection for @entity2 (n = 4) or for @entity378 (n = 2) on nontuberculous @entity5390 (n = 1). @entity8276 ; (1) destruction of one third of the tracheal circumference involving the cricoid down to the fourth ring following tracheotomy in presence of a septic sternum after @entity13209 and @entity1691 ; (2) 30% dehiscence of the @entity254 and septic sternum following tracheal resection; (3) @entity1764 involving tracheal and esophageal wall following a 7 cm long iatrogenous laceration of the intrathoracic @entity825 . RESULTS: In one case the latissimus dorsi developed @entity2979 on day 2 and was replaced by the pectoralis major muscle which showed uneventful healing. In all other @entity1 the muscle flap resulted in an uneventful closure of the defect and recovery. CONCLUSIONS: Large, well vascularized, pedicled @entity121 ensure a safe closure of tracheo-bronchial defects or dehiscences even in presence of gross @entity39 and @entity295 .

Life-saving XXXX in tracheobronchial dehiscence following resection or trauma.

@entity825 :: ('MESH:D055090', 'Disease') :: ['trachea'] @entity32 :: ('MESH:D007249', 'Disease') :: ['inflammation'] @entity1 :: ('9606', 'Species') :: ['patients'] @entity13209 :: ('MESH:D006045', 'Disease') :: ['intrathoracic goiter'] @entity295 :: ('MESH:D018805', 'Disease') :: ['sepsis'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrosis'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity2 :: ('MESH:D008175', 'Disease') :: ['lung cancer'] @entity1764 :: ('MESH:D008480', 'Disease') :: ['Mediastinitis'] @entity5390 :: ('MESH:D011001', 'Disease') :: ['pleuropneumonia'] @entity1691 :: ('MESH:D013167', 'Disease') :: ["Bechterew's disease"] @entity2979 :: ('MESH:D054070', 'Disease') :: ['venous stasis'] @entity8276 :: ('MESH:D014133', 'Disease') :: ['Tracheal defects'] @entity378 :: ('MESH:D014376', 'Disease') :: ['tuberculous'] @entity121 :: ('MESH:D009135', 'Disease') :: ['muscle flaps']
@entity121 :: (MESH:D009135,Disease) :: ['muscle flaps']
