Outcomes following pharyngolaryngectomy with fasciocutaneous free flap reconstruction and salivary bypass tube1. (5th September 2012)

• Record Type: Journal Article
• Authors: López, Fernando; Obeso, Sergio; Camporro, Daniel; Fueyo, Ángel; Suárez, Carlos; Llorente, José L.
• Is Part Of: Laryngoscope. Volume 123:Number 3(2013:Mar.)
• Page Start: 591
• Page End: 596
• Publication Date: 2012-09-05
• Subjects: Fasciocutaneous free flap -- salivary bypass tube -- hypopharyngeal reconstruction -- radial forearm free flap -- anterolateral thigh flap -- Level of Evidence: 4; Otolaryngology -- Periodicals; 617.51005
• DOI: 10.1002/lary.23695
• Languages: English
• ISSNs: 0023-852X

Abstract

Abstract: Objectives/Hypothesis: Reconstruction of the pharyngoesophageal defects is one of the most challenging for head and neck surgeons. We evaluated our experience in the hypopharyngeal reconstruction using a fasciocutaneous free flap in conjunction with a Montgomery salivary bypass tube (MSBT). Study design: Retrospective review. Methods: The charts of 55 patients who had undergone hypopharynx reconstruction using either a radial forearm free flap (RFFF) (24) or an anterolateral thigh (ALT) flap (31) with MSBT were reviewed. There were 40 circumferential and 15 near‐circumferential defects. Outcomes analyzed included fistula and stricture rates and swallowing function. Results: Pharyngocutaneous fistula occurred in 9% of patients (16% using RFFF and 3% using ALT), and strictures occurred in 5% (8% using RFFF and 3% using ALT). Of patients reconstructed with this technique, 95% were able to resume oral alimentation. Conclusions: The use of fasciocutaneous free flaps in conjunction with the MSBT is a useful tool for pharyngoesophageal reconstruction. Laryngoscope, 2013