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The Annals of Thoracic Surgery, Vol 25, 491-499, Copyright © 1978 by The Society of Thoracic Surgeons

ARTICLES

The use of chest wall muscle flaps to close bronchopleural fistulas: experience with 21 patients

JR Hankins, JE Miller and JS McLaughlin

Nineteen patients with bronchopleural fistulas associated with tuberculosis and 2 patients with fistulas following resection for bronchiectasis underwent closure of the fistulas with pedicled flaps of chest wall muscle. The muscle grafting was combined with a limited thoracoplasty in 13 patients. The initial myoplasty produced prompt fistula closure in 15 patients and delayed closure in 2 others. A repeat myoplasty was successful in 2 patients in whom the initial myoplasty failed. Compared with other methods of treating bronchopleural fistulas used during the same period, muscle grafting carried a higher rate of successful fistula closure and a lower mortality rate.


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