{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:53:42Z","timestamp":1747173222586,"version":"3.40.5"},"reference-count":17,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T00:00:00Z","timestamp":1704672000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215123002360_sec_a1\"><jats:title>Background<\/jats:title><jats:p>A pathological communication between the trachea and oesophagus \u2013 a tracheoesophageal fistula \u2013 may be congenital or acquired, benign or malignant, necessitating a multidisciplinary approach. Conservative attempts at closure of this abnormal connection are ineffective; the interposition of healthy vascular tissue offers the least chance of recurrence.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215123002360_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Outcomes of an islanded fasciocutaneous internal mammary artery perforator flap applied for tracheoesophageal fistula management were assessed in four radiated patients with laryngeal carcinoma using retrospective records.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215123002360_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Four male patients, with an average age of 60.75 years, underwent tracheoesophageal fistula closure between September 2017 and February 2021. A left-sided second internal mammary artery perforator flap was used in all cases, with an average dimension of 10.5 \u00d7 4.5 cm. There were no complications of tracheoesophageal leak, flap issues or donor site morbidity on follow up.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215123002360_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>Recent advances in angiosomal territory mapping and microvascular dissection techniques, combined with an understanding of tracheoesophageal fistula pathology, have changed management perspectives in these difficult-to-treat patients.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215123002360","type":"journal-article","created":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T05:01:03Z","timestamp":1704690063000},"page":"652-655","source":"Crossref","is-referenced-by-count":0,"title":["Internal mammary artery perforator flap in the management of tracheoesophageal fistulae"],"prefix":"10.1017","volume":"138","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1436-879X","authenticated-orcid":false,"given":"Amrita","family":"Kaur","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gautam","family":"Biswas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2024,1,8]]},"reference":[{"key":"S0022215123002360_ref6","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/0007-1226(89)90075-1","article-title":"Inferior epigastric artery skin flaps without rectus abdominis muscle","volume":"42","author":"Koshima","year":"1989","journal-title":"Br J Plast Surg"},{"volume-title":"Nasal Plastic Surgery and Other Facial Reconstructive Procedures, with an Appendix on Reconstructive Breast Surgery and Some Other Procedures in the Area of External Plastic 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