Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 26, 2021; 9(33): 10328-10336
Published online Nov 26, 2021. doi: 10.12998/wjcc.v9.i33.10328
Local random flaps for cervical circumferential defect or tracheoesophageal fistula reconstruction after failed gastric pull-up: Two case reports
Ye Zhang, Yang Liu, Yu Sun, Meng Xu, Xiao-Lei Wang
Ye Zhang, Yang Liu, Yu Sun, Meng Xu, Xiao-Lei Wang, Department of Head and Neck Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
Author contributions: Wang XL designed the report; Zhang Y and Liu Y collected the clinical data; Zhang Y reviewed the literature and wrote the manuscript; Wang XL, Sun Y, and Xu M edited and revised the manuscript; All authors read and approved the final manuscript.
Informed consent statement: All study participants provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Lei Wang, MD, Attending Doctor, Department of Head and Neck Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 17 Panjiayuan Nanli, Chaoyang District, Beijing 100021, China. wangxlchcams@163.com
Received: July 10, 2021
Peer-review started: July 10, 2021
First decision: July 26, 2021
Revised: August 8, 2021
Accepted: September 10, 2021
Article in press: September 10, 2021
Published online: November 26, 2021
Processing time: 134 Days and 21 Hours
Core Tip

Core Tip: In this paper, we report 2 patients who suffered from cervical circumferential defect and tracheoesophageal fistula, reconstructed with local random flaps (with a split thickness skin graft in the first case), after failed gastric pull-up. Both patients achieved good swallowing function without dysphagia postoperatively. Local random flaps and split thickness skin graft have the advantages of easy to harvest with abundant and flexible donor sites. Herein, local random flaps (with a split thickness skin graft) can be a simple and reliable solution for reconstructing tracheoesophageal fistula or cervical circumferential defect after gastric necrosis.