Anterior Mediastinal Tracheostomy with a Pectoralis Major Musculocutaneous Flap

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Abstract
Apparently, the pectoralis major musculocutaneous flap is a simple and reliable technique in constructing a mediastinal tracheostomy. It has the advantage of excellent vascularity and reliability even in those patients who underwent preoperative radiation therapy. A well-vascularized lobe of thyroid tissue placed over the pharyngogastric anastomosis may decrease anastomotic leaks.

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