Reconstruction of partial laryngopharyngectomy defects

Anthony, James P.; Neligan, Peter C.; Rotstein, Lorne; Coleman, John

doi:10.1002/(sici)1097-0347(199709)19:6<541::aid-hed12>3.3.co;2-h

Cited by 5 publications

(9 citation statements)

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“…6,9,11,16,19 In our study, normal swallowing function was recovered. In the patient who developed a fistula, normal swallowing function was recovered after conservative treatment.…”

Section: Discussionsupporting

confidence: 59%

“…5 Depending on the surgeon, the operation is carried out using tube-type fasciocutaneous free flap to reconstruct the hypopharynx. 6 However, the remnant mucosa after tumor resection puts the surgeon in a dilemma. First, for the reconstruction of the hypopharynx and cervical portion of the esophagus, jejunal flap can be an option after complete resection of remnant mucosa.…”

Section: Discussionmentioning

confidence: 99%

“…One method suggested reconstruction through tube-type RFFF or jejunal free flap after resection of the entire remnant tissue, whereas the other recommended patch reconstruction the remnant tissue. 6 Therefore, in patients where a narrow strip of pharyngeal wall is intact, we think that preservation and reconstruction using RFFF is more efficient for preventing fistula and stricture formation. To maximize the advantages of the semicircular-type RFFF described, we aggressively made use of this flap, even if the width of the remnant pharyngeal wall was less than 3 cm, which is less than 30% of the normal diameter of the pharynx.…”

Section: Discussionmentioning

confidence: 99%

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Hypopharyngeal Reconstruction Using Remnant Narrow Pharyngeal Wall as Omega-Shaped Radial Forearm Free Flap

Hong¹,

Jeong²,

Lew³

et al. 2009

Journal of Craniofacial Surgery

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“…6,9,11,16,19 In our study, normal swallowing function was recovered. In the patient who developed a fistula, normal swallowing function was recovered after conservative treatment.…”

Section: Discussionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Hypopharyngeal Reconstruction Using Remnant Narrow Pharyngeal Wall as Omega-Shaped Radial Forearm Free Flap

Hong¹,

Jeong²,

Lew³

et al. 2009

Journal of Craniofacial Surgery

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“…Furthermore, patients who have a history of cirrhosis or previous abdominal exploration may not be candidates for laparotomy. 21 The incidence of abdominal donor‐site complications in jejunal harvest has been reported to be as high as 5.8%, with abdominal wound dehiscence, bowel obstruction, and gastrointestinal hemorrhage being the most common problems. 17 We think this is perhaps the most critical drawback to using a jejunal interposition, especially in elderly patients with other comorbid conditions.…”

Section: Discussionmentioning

confidence: 99%

Radial Forearm Free Flap Pharyngoesophageal Reconstruction

Azizzadeh¹,

Yafai²,

Rawnsley³

et al. 2001

The Laryngoscope

110

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Advantages of radial forearm free flaps for microvascular pharyngoesophageal function include high flap reliability, limited donor site morbidity, larger vascular pedicle caliber, and the ability to achieve good quality tracheoesophageal speech. The swallowing outcome is similar to that achieved after jejunal flap pharyngoesophageal reconstruction. The main disadvantage of this technique relates to a moderately high incidence of pharyngocutaneous fistulas, which contributes to delayed oral intake in affected patients.

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“…The radial forearm flap is thin, safe, and convenient because of the consistent vascularity, although a superthin flap may be an alternative. 11,12 A jejunum patch seems to be another choice for reconstruction of a partial defect following laryngopharyngectomy; however, the jejunum is exposed to the larynx and discharges intestinal juice, and the risk of aspiration pneumonia seems to be high.…”

Section: Discussionmentioning

confidence: 99%

The Combined Use of Hyoid Bone Flap and Radial Forearm Free Flap for Reconstruction Following Partial Laryngopharyngectomy

Yamawaki

Sawabe²,

Kataoka³

et al. 2011

Annals of Plastic Surgery

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In hypopharyngeal carcinoma, even partial laryngopharyngectomy, results in functional disorders involving swallowing and speaking. We reconstructed partial defects following partial laryngopharyngectomy using a combined flap of a hyoid bone flap and radial forearm free flap. Before ablative surgery, we prepared an ipsilateral hyoid bone as a bone flap with sternohyoidal muscle. Then a radial forearm free flap was prepared simultaneously with tumor surgery. Thereafter, we reconstructed the epiglottis and pyriform recess using the combined flap. We successfully reconstructed 7 patients suffering from squamous cell carcinoma of the hypopharynx. The tracheostoma in all patients could be closed. Six patients could swallow without dysphagia within 48 days. This is the first report of the successful combined use of a hyoid bone flap and radial forearm free flap for hypopharyngeal carcinoma.

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Reconstruction of partial laryngopharyngectomy defects

Cited by 5 publications

References 0 publications

Hypopharyngeal Reconstruction Using Remnant Narrow Pharyngeal Wall as Omega-Shaped Radial Forearm Free Flap

Hypopharyngeal Reconstruction Using Remnant Narrow Pharyngeal Wall as Omega-Shaped Radial Forearm Free Flap

Radial Forearm Free Flap Pharyngoesophageal Reconstruction

The Combined Use of Hyoid Bone Flap and Radial Forearm Free Flap for Reconstruction Following Partial Laryngopharyngectomy

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