Squamous cell carcinoma arising in the skin of a deltopectoral flap 27 years after pharyngeal reconstruction
✍ Scribed by Tim A. Iseli; Francis T. Hall; Malcolm R. Buchanan; Stephen M. Kleid
- Publisher
- John Wiley and Sons
- Year
- 2001
- Tongue
- English
- Weight
- 432 KB
- Volume
- 24
- Category
- Article
- ISSN
- 1043-3074
- DOI
- 10.1002/hed.1154
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✦ Synopsis
Abstract
Background
Development of a second primary squamous cell carcinoma in the skin of a flap used for pharyngeal reconstruction is rare.
Methods
A case of squamous cell carcinoma is presented arising in a deltopectoral flap used to reconstruct the hypopharynx 27 years after total laryngectomy. Three previous reports found on review of the literature are summarized.
Results
A second primary squamous cell carcinoma may arise in the skin of a myocutaneous flap in the absence of any obvious risk factors.
Conclusion
We suspect that long‐term exposure of the skin of the flap lining the pharynx to saliva may have been a significant factor in the development of this malignancy. Long‐term follow up and awareness of this complication is required for patients with soft tissue reconstruction of the oral cavity and pharynx. © 2002 John Wiley & Sons, Inc. Head Neck 24: 87–90, 2002.