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. 2023 Dec;75(4):3883-3885.
doi: 10.1007/s12070-023-03907-x. Epub 2023 Jun 12.

The U- advancement Burrow's Flap in Persistent Tracheocutaneous Fistula. ~ Case Report

Manish Munjal  1 , Shubham Munjal  1 , Akashdeep Singh  2 , Salony Sharma  1 , Shivam Talwar  1 , Hardeep Kaur  1
Affiliations

The U- advancement Burrow's Flap in Persistent Tracheocutaneous Fistula. ~ Case Report

Manish Munjal et al. Indian J Otolaryngol Head Neck Surg. 2023 Dec.

Abstract

Persistent tracheo-cutaneous fistulae necessitate a closure with pedicled or free flaps. The modality adopted is to reconstitute the anterior tracheal wall without compromising the tracheal lumen. We have developed the lateral U advancement Burrow's flap over the strap muscles and tracheal lateral fibrous flaps, to repair a large trachea-cutaneous fistula.

Keywords: Burrow’s U advancement; Hinged flap; Layered closure; Loco-regional flap; Strap muscles; Tracheo-cutaneous fistula.

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Conflict of interest statement

Conflict of interestNone declared.

Figures

Fig. 1
Fig. 1
a. 20 mm x 10 mm persistent trachea -cutaneous fistula. b. Post op X ray, with a well delineated laryngo-tracheal air column. c. Late (2 weeks) well healed ‘U advancement Burrow’s flap
Fig. 2
Fig. 2
a. Fascio-cutaneous advancement flaps on either side of the fistula. (Right and left directed arrows). b. Burrow’s superior and inferior triangle s marked and cut (up and down directed arrows) .Sutured sternohyoid muscles of either side in midline. (Circle) b.The U advancement Burrow’s flap. Suture line (arrow) was distal from the underlying tracheostome (star) c. A Unipedicle advancement flap harvested utilizing parallel incisions, thereby facilitating flap to slide in a single vector (large arrow) to cover the defect. Secondary mobilization of adjacent skin to the defect occurs in a direction (small arrow) opposite to the direction of flap movement
See this image and copyright information in PMC

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