Serratus Anterior-Rib Composite Flap as a Novel Approach for Tracheal Reconstruction.

[OBJECTIVE] To report a novel case of tracheal reconstruction using a serratus anterior-rib composite flap.

[METHODS] Case report and literature review.

[RESULTS] A 46-year-old male with a 4 cm anterior tracheal wall defect underwent reconstruction with a serratus anterior-rib composite flap. The patient experienced excellent results regarding phonation, swallowing, and cosmesis.

[CONCLUSION] The serratus anterior-rib composite flap appears to be a suitable candidate for tracheal reconstruction and merits further analysis in this context. The flap's intrinsic incorporation of a perfused rib segment allows for reliable reconstruction of the neotrachea and maintenance of proximal dynamic airway support.