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Fig. 2 | Surgical Case Reports

Fig. 2

From: Successful closure of a tracheocutaneous fistula after tracheostomy using two skin flaps: a case report

Fig. 2

Operative schemes. a Bilateral hinge flaps were created to close the fistula. The flaps were taken from the left and right sides of the tracheal defect, and the superfluous skin of each hinge flap was trimmed. b The hinge flaps were inversed to cover the tracheal lumen with skin epithelium and sutured tightly with the platysma muscle. c A single flap to cover the skin defect was elevated from the lateral aspect of the right hinge flaps. The arrows indicate how the skin flaps were positioned. d The single flap was elevated and rotated to cover the skin defect, and the skin was sutured layer by layer

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