Voice outcomes following reconstruction of laryngopharyngectomy defects using the radial forearm free flap and the anterolateral thigh free flap

Abstract

2b.

Tracheoesophageal voice after total laryngopharyngectomy reconstruction: Jejunum versus radial forearm free flap

“…Demographic features of the three study groups were essentially equivalent. Although comparison of the objective acoustic parameters of intensity and fundamental frequency is absent in many recent studies, our analysis concurred with older works demonstrating no significant differences between the three groups, thereby countering the frequently held belief that TLP patients with flap reconstruction have “low” voices.…”

“…As noted, the ALT flap has recently gained popularity as another fasciocutaneous free flap option for the TLP defect . Having similar tissue characteristics to the RFF, ALT patients might be expected to demonstrate similar vocal function, as noted by Revenuagh, under this study protocol. Yet, direct comparison would offer the best insight.…”

“…When subjectively assessing TE voice, most studies used limited parameters such as maximum sustained phonation, syllable count, fluency, and nonblinded assessment of voice quality and intelligibility by a single speech pathologist . This study protocol, as introduced in 1994, is time‐consuming but comprehensive and rigorous.…”

Functional outcomes of fasciocutaneous free flap and pectoralis major flap for salvage total laryngectomy

“…Measuring the defect is difficult before or after the resection and does not take account of quality and elasticity of the mucosa. In the largest and dominant studies on this topic, reported methods and criteria assessing for a possible primary closure of the mucosa were: none, 10,12,16,19,20 size of inset flap or estimated defect, 13,21 and predicted size after closure permitting an index finger in the lumen. 22 Therefore, we conclude that, currently, a reproducible and unbiased method for selecting the type of pharynx reconstruction (primary closure, pedicled flap, or free flap) does not exist.…”

Synthesis and Properties of Flexible Polyurethane Using Ferric Catalyst for Hypopharyngeal Tissue Engineering

“…Inevitably, large defects after surgery will lead to severe voice handicap and swallowing disability. Thus, tissue grafts like a jejunal flap, supraclavicular artery flap, and anterolateral thigh flap are commonly used for surgical repair [ 3 – 8 ]. This will induce tissue defects at other sites and double harms for patients.…”