PMC9945533_01
Lesion of the pars membranacea extending from 5 cm from the glottis up to carena, including the origin of the main right bronchus. Bulging of the anterior esophageal wall is visible through the loss of trachea substance.
fsurg-10-1120404-g001.jpg
PMC9945533_01_fsurg-10-1120404-g001.jpg
F1
The tear was confirmed to be at full thickness with bulging of the esophagus and large virtual space between the anterior esophageal wall and trachea, resulting in a false lumen produced by the tracheostomic cannula (Figure 1).
The pars membranacea was repaired with continuous suturing in 3-0 absorbable monofilament Polydiossanone while the anterior tracheal wall was sutured with single 2-0 Polyglactin braided absorbable stitches using cervicotomic access.
fsurg-10-1120404-g002.jpg
PMC9945533_01_fsurg-10-1120404-g002.jpg
F2
The pars membranacea was repaired with continuous suturing in 3-0 absorbable monofilament Polydiossanone while the anterior tracheal wall was sutured with single 2-0 Polyglactin braided absorbable stitches using cervicotomic access (Figure 2).