The Value of the “Papillon” Anterolateral Thigh Flap for Total Pharyngolaryngectomy Reconstruction: A Retrospective Case Series

Ghazali, Naseem; Hanna, Todd; Dyalram, Donita; Lubek, Joshua E.

doi:10.1016/j.joms.2015.09.010

Cited by 12 publications

(8 citation statements)

References 20 publications

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“…The “butterfly” (a.k.a. “Papillon” and “inverted omega”) design is effective for simultaneously reconstructing the pharyngoesophageal tube and neck skin . The single anastomotic leak in our series was simple to stop.…”

Section: Discussionmentioning

confidence: 72%

Esophageal reconstruction after oncological total laryngopharyngoesophagectomy: Algorithmic approach

et al. 2018

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Section: Discussionmentioning

confidence: 72%

Esophageal reconstruction after oncological total laryngopharyngoesophagectomy: Algorithmic approach

et al. 2018

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“…Tumor registrars report patient follow-up to the NCDB annually and CoC accreditation standards require an annual 90% follow-up rate for all living analytic patients 29 . Neither patterns of failure nor disease-specific survival are available in the NCDB.…”

Section: Methodsmentioning

confidence: 99%

Effect of time to initiation of postoperative radiation therapy on survival in surgically managed head and neck cancer

Graboyes

Garrett‐Mayer

Ellis

et al. 2017

Cancer

125

167

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Background Determine the effect of National Comprehensive Cancer Network Guideline- adherent initiation of postoperative radiation therapy (PORT), and different time to PORT intervals, on overall survival (OS) in patients with head and neck squamous cell carcinoma (HNSCC). Methods Reviewing the National Cancer Database (NCDB) from 2006–2014, patients with HNSCC undergoing surgery and PORT were identified. Kaplan-Meier survival estimates, Cox regression analysis, and propensity score matching were used to determine the effect of initiating PORT ≤ 6 weeks of surgery, and different time to PORT intervals, on survival. Results 41,291 patients were included in the study. After adjusting for covariates, starting PORT > 6 weeks postoperatively was associated with decreased OS (adjusted Hazard Ratio [aHR] 1.13; 99% confidence interval [CI] 1.08–1.19). This finding remained in the propensity score-matched subset (HR 1.21; 99% CI 1.15–1.28). Relative to starting PORT 5 to ≤ 6 weeks postoperatively, initiating PORT earlier was not associated with improved survival (≤ 4 weeks: aHR 0.93; 99% CI 0.85–1.02, 4 to ≤ 5 weeks: aHR 0.92; 99% CI 0.84–1.01). Increasing duration of delays beyond 7 weeks were associated with progressive small survival decrements (aHR 1.09, 1.10, and 1.12 for 7 to ≤ 8 weeks, 8 to ≤ 10 weeks, and > 10 weeks). Conclusions Non-adherence to NCCN Guidelines for initiating PORT within 6 weeks of surgery is associated with decreased survival. There is no survival benefit to initiating PORT earlier within the recommended 6-week timeframe. Increasing durations of delays beyond 7 weeks are associated with small progressive survival decrements.

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“…It was applied to the tongue, oral cavity, orbitomaxillary, parapharyngeal, scalp, and pharyngolaryngeal defects. Double paddle flap or bipedicled variations (method described in literature's) ( 19 , 20 ) assisted us with reconstructing complex oral cavity defect, glossectomy loss, as well as skin neck involvement and pharyngo-cutaneous defect ( 21 ).…”

Section: Discussionmentioning

confidence: 99%

Advanced Head and Neck Reconstruction; A Seven-Year Experience in Iran

Mohammadi

Lotfi

Kazemipour

2022

Med. J. Islam. Republ. Iran

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Background: One of the most challenging methods is a free flap reconstruction in the third world: wanting in more endeavors. There is an intense requirement in the realm of training and experience in addressing head and neck defect issues. This study is aimed at expressing our experience with the free flap as a useful reconstruction method. Methods: Some patients were included as candidates in a retrospective study for free flap reconstruction, referring to diverse hospitals in different places in Tehran, Iran, from 2013 to 2020. Patients' demographic data, tumor profile, as well as flap results, were under assessment. Means (±Standard Deviation=SD), and median (with an interquartile range =IQR=Q1-Q3) for continuous variables; frequencies, as well as proportions for categorical variables, were reported. The variables' comparison among both groups – death or survival –was conducted employing either X2 tests or Fisher's accurate test for proportions; also, unpaired t-tests for means. Results: 330 individuals of patients undergoing 7 years of free-flap operation were under evaluation. The age ranged from 7 to 96 years, with an average of 51.91 ± 17.87 (Mean ± SD). The tongue (118, 37.6%) was the tumor's most typical origin; radial forearm flap (133, 40.3%), the most employed flap accompanied by anterolateral thigh flap (110, 33.3%). The success rate of free flaps surgery was 94 %, and merely 20 individuals of (6%) patients experienced flap necrosis; 21 individuals of patients (6.4%) died in the hospital after the surgical operation. Conclusion: In spite of the several limitations in our country as there are in other developing countries, the surgery of free flap reconstruction in head and neck defects has experienced an evolution in the last few years. In order to achieve better outcomes, we are supposed to mitigate the related issues to underlying diseases, patients suffering from, and the delay in the realm of detecting flap vascular complications in our setting.

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The Value of the “Papillon” Anterolateral Thigh Flap for Total Pharyngolaryngectomy Reconstruction: A Retrospective Case Series

Cited by 12 publications

References 20 publications

Esophageal reconstruction after oncological total laryngopharyngoesophagectomy: Algorithmic approach

Esophageal reconstruction after oncological total laryngopharyngoesophagectomy: Algorithmic approach

Effect of time to initiation of postoperative radiation therapy on survival in surgically managed head and neck cancer

Advanced Head and Neck Reconstruction; A Seven-Year Experience in Iran

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