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Title of Journal: Pediatr Surg Int

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Abbravation: Pediatric Surgery International

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Springer-Verlag

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DOI

10.1007/bf03161367

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1437-9813

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Combined free autologous auricular cartilage and f

Authors: Akihide Sugiyama Naoto Urushihara Koji Fukumoto Hiroaki Fukuzawa Kentaro Watanabe Maki Mitsunaga Takeshi Aoba Susam Park
Publish Date: 2013/01/05
Volume: 29, Issue: 5, Pages: 519-523
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Abstract

Repair of recurrent tracheoesophageal fistula TEF after repair of congenital esophageal atresia continues to be a difficult problem The most common reoperation for a recurrent TEF involves repair via a right thoracotomy and use of a flap as interposed tissue between the closure sites Although several materials have been reported for recurrent fistula repair natural pedicled flaps have been used in most previous reports The harvesting of a pedicled flap can sometimes be difficult when the patient has had multiple surgeries In this report the successful use of a combined free autologous auricular cartilage and free fascia lata graft repair for a complex patient with multiple recurrent TEFs is described We believe that our technique should be considered as an approach for patients with recurrent TEF

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