Abstract
The purpose of this report is to describe a new surgical procedure closing an esophagostome following laryngo-esophagectomy and a tracheostome.
This method is of great value to close the stoma when it is large or the tissue adjacent to the stoma is highly damaged following irradiation.
The operative procedure was as follows;
First operation: A large tubed abdominal flap with buried skin graft was made. The buried skin graft is to provide the internal skin lining of newly reconstructed esophagus or trachea when the stoma is closed.
Second operation: Two weeks after the first operation, one end of the tubed abdominal flap was cut off and transplanted to the wrist,
Third operation; Three weeks after the second operation, the other end of the tubed abdominal flap was cut off, the skin lined tube was opend, and the stoma was closed with this pedicleflap which has the internal skin lining.
Fourth operation: Four weeks after the third operation, the pedicle was cut off, and the repair of the stoma was completed.
