The authors have no funding, financial relationships, or conflicts of interest to disclose.
Facial Plastics and Reconstructive Surgery
Temporoparietal fascia free flap for pharyngeal coverage after salvage total laryngectomy†
Article first published online: 6 DEC 2011
Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 122, Issue 3, pages 523–527, March 2012
How to Cite
Higgins, K. M., Ashford, B., Erovic, B. M., Yoo, J. and Enepekides, D. J. (2012), Temporoparietal fascia free flap for pharyngeal coverage after salvage total laryngectomy. The Laryngoscope, 122: 523–527. doi: 10.1002/lary.22477
- Issue published online: 21 FEB 2012
- Article first published online: 6 DEC 2011
- Accepted manuscript online: 26 NOV 2011 12:04AM EST
- Manuscript Accepted: 1 NOV 2011
- Manuscript Revised: 24 OCT 2011
- Manuscript Received: 2 OCT 2011
- temporoparietal free flap;
- fistula rate;
The aim of this study was to assess whether the use of the temporoparietal fascia as a free flap for pharyngeal closure reinforcement reduced the incidence of pharyngocutaneous fistula (PCF) in the salvage setting.
Consecutive case series.
After research ethics board approval, 12 patients who required salvage laryngectomy, including reinforcement coverage of the primarily closed pharyngeal defect with temporoparietal fascia as a free tissue transfer, were analyzed.
One (8%) out of 12 patients experienced pharyngocutaneous fistula that responded with conservative wound packing.
The PCF rate of 8% is significantly better than in similar salvage cases without flap coverage. Moreover, our PCF rate is comparable to the results shown for the pectoralis major muscle flap. The most obvious benefit of the temporoparietal fascia free flap for pharyngeal coverage in salvage laryngectomy is a reduced PCF rate with diminished donor-site morbidity, including cosmetic outcome, shoulder girdle function, and chest deformity.