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The Annals of Thoracic Surgery, Vol 41, 636-638, Copyright © 1986 by The Society of Thoracic Surgeons
RE Jones, RF Morgan, KL Marcella, SE Mills and IL Kron
Tracheal defects due to stricture formation, tracheomalacia, and neoplasms
can present difficult reconstructive problems. Tracheal defects were
surgically created in 6 dogs and primarily reconstructed with microsurgical
free tissue transfer of autogenous jejunal segments. Primary healing was
accomplished in all dogs without severe air leakage or infection.
Bronchoscopy demonstrated no substantial secretions or tracheal narrowing.
Gross pathological examination of the trachea revealed no evidence of
tracheal disruption or infection. Direct measurements revealed no major
tracheal narrowing. Microscopic examination demonstrated normal jejunal
mucosa with a minimal amount of inflammatory change at the margins of the
reconstruction at 6 weeks. Microvascular free tissue transfer of jejunal
segments to correct cervical tracheal defects can readily be accomplished
with excellent healing and maintenance of the tracheal lumen in dogs.
ARTICLES
Tracheal reconstruction with autogenous jejunal microsurgical transfer
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