Modified Total Laryngectomy With Strap-Flap Technique in a Patient With Bovine Aortic Arch Anomaly: A Case Report and Literature Review.

IF 2.3 3区医学 Q1 OTORHINOLARYNGOLOGY

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2024-11-29 DOI:10.1002/hed.28023

Julie Nadjmi, Olivier Peetermans, Simon Nicolay, Patrick Lauwers, Gilles Van Haesendonck

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引用次数: 0

Abstract

Background: Total laryngectomy is an essential surgical intervention in the management of advanced laryngeal carcinoma. However, anatomical variations such as the bovine arch can complicate this procedure. The atypical branching pattern of the bovine arch may position major vessels closer to the tracheostomy site, increasing the risk of tracheo-arterial fistulization.

Methods: We present the case of a 71-year-old woman with bovine arch anatomy who underwent total laryngectomy. Preoperative assessment revealed an aberrant right common carotid artery (RCCA) located close to the tracheostomy site. Intraoperatively, the "strap-flap technique" was employed, positioning the strap muscles between the RCCA and the trachea to minimize friction and reduce the risk of tracheo-arterial fistula formation.

Results: The laryngectomy was performed successfully without any bleeding complications.

Conclusion: Preoperative assessment of aortic arch anatomy is essential for guiding surgical planning. Surgical modifications, such as the use of strap muscles or pectoralis muscle flaps, are crucial in preventing postoperative complications.

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.