The authors have no funding, financial relationships, or conflicts of interest to disclose.
Facial Plastics and Reconstructive Surgery
Outcomes following pharyngolaryngectomy with fasciocutaneous free flap reconstruction and salivary bypass tube†
Article first published online: 5 SEP 2012
Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 123, Issue 3, pages 591–596, March 2013
How to Cite
López, F., Obeso, S., Camporro, D., Fueyo, Á., Suárez, C. and Llorente, J. L. (2013), Outcomes following pharyngolaryngectomy with fasciocutaneous free flap reconstruction and salivary bypass tube. The Laryngoscope, 123: 591–596. doi: 10.1002/lary.23695
- Issue published online: 26 FEB 2013
- Article first published online: 5 SEP 2012
- Manuscript Accepted: 2 AUG 2012
- Fasciocutaneous free flap;
- salivary bypass tube;
- hypopharyngeal reconstruction;
- radial forearm free flap;
- anterolateral thigh flap;
- Level of Evidence: 4
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).
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.
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.
The use of fasciocutaneous free flaps in conjunction with the MSBT is a useful tool for pharyngoesophageal reconstruction. Laryngoscope, 2013