{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T21:32:56Z","timestamp":1792618376546,"version":"4.5.0"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2020,11,30]],"date-time":"2020-11-30T00:00:00Z","timestamp":1606694400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\nBackground\u2003The process of reconstruction of tracheal defects is complex and still not optimum. Options range from using staged reconstructions, combining flaps with autologous or alloplastic implants, as well as use of tissue-engineered constructs combined with vascularized tissues which are lined with cell cultures. Staged reconstructions using prelaminated epithelium, and prefabricated flaps, help in reconstruction of this complex structure. Prefabricating the flap at a different site allows for integration of the tissues prior to its transfer.<\/jats:p><jats:p>\nMethod\u2003This article reports two patients planned for tracheal reconstruction for the purpose of advanced papillary carcinoma of the thyroid invading the trachea. Staged reconstruction using a prefabricated radial artery forearm flap (RAFF) and split rib cartilage was performed. In the second patient, a young girl, a similar construct of the RAFF, prelaminated with buccal mucosa, was performed. However, in the latter case, an intraoperative decision by the head and neck team to limit excision of the trachea sparing the mucosa was taken; the reconstruct in the forearm was redundant and needed to be discarded, replacing the defect with a free superficial circumflex iliac artery perforator (SCIP) flap.<\/jats:p><jats:p>\nResult\u2003At 3 years follow-up, both the patients are free of disease, with the construct serving its purpose in the older female.<\/jats:p>","DOI":"10.1055\/s-0040-1721522","type":"journal-article","created":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T00:37:31Z","timestamp":1606783051000},"page":"053-057","source":"Crossref","is-referenced-by-count":4,"title":["Fabricating Flaps in the Forearm Prior to Tracheal Reconstruction"],"prefix":"10.1055","volume":"54","author":[{"given":"Gautam","family":"Biswas","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, TATA Medical Center, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karnav Bharat","family":"Panchal","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, TATA Medical Center, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prateek V.","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, TATA Medical Center, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kapila","family":"Manikantan","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, TATA Medical Center, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajeev","family":"Sharan","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, TATA Medical Center, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pattatheyil","family":"Arun","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, TATA Medical Center, Kolkata, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,11,30]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"900","DOI":"10.1016\/j.jtcvs.2004.07.036","article-title":"Experimental generation of a tissue-engineered functional and vascularized trachea","volume":"128","author":"T Walles","year":"2004","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1002\/hed.2880160211","article-title":"Locally invasive papillary thyroid carcinoma: 1940-1990","volume":"16","author":"T V McCaffrey","year":"1994","journal-title":"Head 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Surg"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1016\/S0022-5223(03)00357-X","article-title":"Reconstruction of the trachea with a tubed radial forearm free flap","volume":"126","author":"B R Beldholm","year":"2003","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1016\/j.athoracsur.2008.06.062","article-title":"Tracheal reconstruction with the use of radial forearm free flap combined with biodegradative mesh suspension","volume":"87","author":"A Maciejewski","year":"2009","journal-title":"Ann Thorac Surg"},{"issue":"02","key":"ref8","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1016\/j.athoracsur.2004.12.009","article-title":"Human tracheal reconstruction with a composite radial forearm free flap and prosthesis","volume":"81","author":"P Yu","year":"2006","journal-title":"Ann Thorac Surg"},{"issue":"07","key":"ref9","doi-asserted-by":"crossref","first-page":"e178","DOI":"10.1097\/GOX.0000000000000097","article-title":"Advances in tracheal reconstruction","volume":"2","author":"S Haykal","year":"2014","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"11","key":"ref10","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1177\/000348940511401102","article-title":"Prefabricated composite free flaps for tracheal reconstruction: a new technique","volume":"114","author":"M S Teng","year":"2005","journal-title":"Ann Otol Rhinol Laryngol"},{"issue":"01","key":"ref11","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1097\/01.mlg.0000150688.00635.2b","article-title":"Circumferential tracheal reconstruction for the functional treatment of airway compromise","volume":"115","author":"J Olias","year":"2005","journal-title":"Laryngoscope"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1002\/cncr.25492","article-title":"Long-term outcomes of microsurgical reconstruction for large tracheal defects","volume":"117","author":"P Yu","year":"2011","journal-title":"Cancer"}],"container-title":["Indian Journal of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1721522.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T06:32:31Z","timestamp":1617258751000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1721522"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,30]]},"references-count":12,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2021,3,31]]},"published-print":{"date-parts":[[2021,1]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1721522","relation":{},"ISSN":["0970-0358","1998-376X"],"issn-type":[{"value":"0970-0358","type":"print"},{"value":"1998-376X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,30]]}}}