Free flaps for type III complex pharyngoesophageal defects after enlarged ablative surgery for advanced cancer of larynx and hypopharynx
✍ Scribed by Nicolae Antohi; Gheorghe Tibirna; Ilie Suharski; Anatol Bejan; Sergiu Marina; Vadim Pogonet; Vitalie Stan
- Publisher
- John Wiley and Sons
- Year
- 2003
- Tongue
- English
- Weight
- 225 KB
- Volume
- 23
- Category
- Article
- ISSN
- 0738-1085
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✦ Synopsis
Abstract
Free tissue transfer has become a useful technique for reconstruction of type III complex pharyngoesophageal defects after enlarged laryngectomy and partial or total pharyngoesophageal resection. We present a retrospective analysis of our experience with 36 patients who received free flaps for reconstruction of complex pharyngoesophageal defects associated with skin and soft‐tissue defects. Free fasciocutaneous flaps and jejunum combined with a deltopectoral flap and musculocutaneous pectoralis major flap, gastro‐omental flap, and combined latissimus dorsi musculocutaneous and cutaneous scapular flaps were used for reconstruction. Adjuvant therapy included preoperative or postoperative radiotherapy. Free flap failure occurred in 2 of 36 patients. Twenty‐eight patients had good swallowing function. Better results with fewer complications in reconstruction of type III complex pharyngoesophageal defects were obtained with the use of a combined latissimus dorsi and scapular flap. © 2003 Wiley‐Liss, Inc. MICROSURGERY 23:189–193 2003