Evidence map›Paper›PMID 36727609›Full record

ArticleInternational wound journal2023

Surgical treatment of tracheocutaneous fistula and tracheostomy scars using a hinged flap and local myocutaneous flap.

Kazuki Shimada, Takako Komiya, Norihito Ito, Munenori Sato, Yukiko Ida, Dai Shibata, Hajime Matsumura

Abstract read
In one paragraph

Article in International wound journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kazuki ShimadaDepartment of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, Japan.
Takako KomiyaDepartment of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, Japan.
Norihito ItoDepartment of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, Japan.
Munenori SatoTrauma and Reconstruction Center, Shinyurigaoka General Hospital, Kanagawa, Japan.
Yukiko IdaDepartment of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, Japan.
Dai ShibataDepartment of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, Japan.
Hajime MatsumuraDepartment of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tracheocutaneous fistula and tracheostomy scar are complications associated with the prolonged use of tracheostomy tubes. They have functional and cosmetic problems owing to tracheal tugging during swallowing and easily visible scars. Although many procedures exist to correct this issue, there is no consensus on the optimal surgical technique. Therefore, an ideal surgical procedure was devised. The study was performed on 12 patients between September 2016 and May 2021. All patients had persistent tracheocutaneous fistulas or hypertrophic scars on the neck after tracheostomy. All procedures were performed using a hinged flap and two myocutaneous local flaps. All patients had no complications, and their aesthetics were excellent in postoperative photographs. The scar was better on the straight scar when the flap's skin is denuded than on the VY advancement flap. It should be noted, however, that this procedure can cause the flap to become congested in a short period after head and neck surgery. This procedure is safe, reliable and simple for surgical closure. This was found to produce excellent cosmetic results with no major complications.

Indexed as

Cicatrix, HypertrophicCutaneous FistulaMyocutaneous FlapTracheal DiseasesHumansTracheostomyhinge flaplocal myocutaneous flapnew surgical techniquetracheocutaneous fistulatracheostomy scar

Identifiers

PMID36727609
PMCPMC10410321

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.