Outcomes following pharyngolaryngectomy reconstruction with the anterolateral thigh (ALT) free flap

Effects of Radiotherapy on Pharyngeal Reconstruction After Pharyngo-Laryngectomy

“…According to our experience over the past two decades 10 , the incidence of early post-operative pharyngo-cutaneous fistula was 23.9% when pectoralis major flap is used, 12.5% when the free anterolateral thigh flap is used, and 4.6% when the jejunal flap is used. Similar results are demonstrated in other series [11][12] . Majority (65.5%) of the patients with salivary leakage required exteriorization by creating a control pharyngostome pharyngostomy, followed by a second stage reconstruction after the inflammation subsided.…”

Salvage total laryngectomy after external‐beam radiotherapy: A 20‐year experience

“…In the elderly population, pretreatment dysphagia, along with surgery and adjuvant EBRT, are all associated with long‐term dysphagia . Smaller series evaluating dysphagia in similar populations have reported gastrostomy tube rates in the 13% to 16%, although many of the larger series simply do not describe swallowing outcomes in detail …”

Chimeric flaps pedicled with the lateral circumflex femoral artery for individualised reconstruction of through-and-through oral and maxillofacial defects

“…3,[13][14][15] The radial forearm flap was first described by Yang et al in 1981 and is one of the most popular free flaps for use in the reconstruction of through-and-through oral and maxillofacial defects. 3,4,16 Despite its usefulness and feasibility at the recipient site, the harvesting of the radial forearm flap is associated with a conspicuous aesthetic deformity in the forearm, the sacrifice of an important vessel (the radial artery) and high donor site morbidity.…”