Buried anterolateral thigh flap for pharyngoesophageal reconstruction: Our method for monitoring

Head & Neck ◽  
2009 ◽  
Vol 31 (7) ◽  
pp. 882-887 ◽  
Author(s):  
Georgia-Alexandra Ch. Spyropoulou ◽  
Yur-Ren Kuo ◽  
Chih-Yen Chien ◽  
Johnson Chia-Shen Yang ◽  
Seng-Feng Jeng
Keyword(s):  
Anterolateral Thigh Flap ◽  
Anterolateral Thigh ◽  
Pharyngoesophageal Reconstruction

P203 PHARYNGOESOPHAGEAL RECONSTRUCTION AFTER LARYNGECTOMY AND RADIOTHERAPY

2019 ◽  
Vol 32 (Supplement_2) ◽  
Author(s):  
Nikolaos Maltzaris ◽  
Maria Kotrotsiou ◽  
Spyridon Stavrianos
Keyword(s):  
Anterolateral Thigh Flap ◽  
Barium Swallow ◽  
Pharyngocutaneous Fistula ◽  
Anterolateral Thigh ◽  
Pharyngoesophageal Reconstruction ◽  
Radial Forearm ◽  
Microsurgical Techniques ◽  
Complete Failure ◽  
Tissue Flap ◽  
Free Tissue Flap

Abstract Aim The purpose of this presentation is to review our experience and evaluate our results in the treatment of patients with pharyngoesophageal fistula after laryngectomy and radiotherapy. Background & Methods 10 patients were examined at the head and neck combined oncology clinic after previous laryngectomy and radiotherapy and pharyngocutaneous fistula with weakness to feed food as well frequent aspiration pneumonia. The interval between the effect of the laryngectomy varies between 3-5 years depending on the severity of the symptomatology and after the complete failure of the conservative methods of reconstruction. Reconstruction was performed with musculocutaneous major pectoral flap in 8 patients, radial forearm flap and anterolateral thigh flap. Results The postoperative period was uncomplicated, and in all patients the feeding was held after barium swallow test, after 7-15 days with soft food. The gold standard treatment of pharyngoesophageal fistula after laryngectomy and radiotherapy is the musculocutaneous major pectoral flap and in severe radionecrosis of the neck with free tissue flap reconstruction. Conclusion Reconstruction with microsurgical techniques offer improved prognosis and quality of life of our patients.

Hypopharyngeal, Esophageal, and Neck Reconstruction

2018 ◽  
Author(s):  
Steven B Chinn ◽  
Peirong Yu
Keyword(s):  
Perforator Flap ◽  
Ulnar Artery ◽  
Good Alternative ◽  
Radial Forearm Flap ◽  
Anterolateral Thigh Flap ◽  
Forearm Flap ◽  
Anterolateral Thigh ◽  
Pharyngoesophageal Reconstruction ◽  
Radial Forearm ◽  
Artery Perforator

Organ preservation protocols with radiotherapy have become the primary treatment for stage I to III laryngeal and hypopharyngeal carcinoma. Many pharyngoesophageal defects are the result of salvage laryngopharyngectomy following radiation failure, making reconstruction more challenging. Given the detrimental effects of radiation on wound healing, reconstruction bathed in saliva, and the frozen neck with poor recipient vessels, pharyngoesophageal reconstruction requires great attention to detail to avoid catastrophic complications. In this review, we detail the commonly used flaps for pharyngoesophageal reconstruction, including the radial forearm flap, anterolateral thigh flap, and jejunal flap. In recent years, the anterolateral thigh flap has become the optimal flap for this type of reconstruction due to its minimal donor-site morbidity and excellent functional outcomes. Use of a two-skin island anterolateral flap allows for pharyngoesophageal reconstruction with simultaneous neck resurfacing. The profundus artery perforator flap can be a good alternative to the anterolateral thigh flap, whereas the ulnar artery perforator flap may be a good alternative to the radial forearm flap in certain cases. We discuss recipient vessel selection and conclude by outlining important postoperative considerations. This review contains 23 figures, 3 tables and 39 references Key words: anterolateral thigh flap, anteromedial thigh flap, frozen neck, gastro-omental flap, hypopharynx, laryngeal cancer, perforator flaps, pharyngocutaneous fistula, pharyngoesophageal reconstruction, profundus artery perforator flap, radial forearm flap, tracheoesophageal puncture, transverse cervical vessels, ulnar artery perforator flap

Distal skin paddle as a monitor for buried anterolateral thigh flap in pharyngoesophageal reconstruction

Oral Oncology ◽  
2012 ◽  
Vol 48 (3) ◽  
pp. 249-252 ◽  
Author(s):  
Ngian Chye Tan ◽  
Hsiang-Shun Shih ◽  
Chien-Chang Chen ◽  
Yen-Chou Chen ◽  
Pao-Yuan Lin ◽  
...  
Keyword(s):  
Anterolateral Thigh Flap ◽  
Skin Paddle ◽  
Anterolateral Thigh ◽  
Pharyngoesophageal Reconstruction

scholarly journals Pharyngoesophageal reconstruction with the anterolateral thigh flap after total laryngopharyngectomy

Cancer ◽  
2010 ◽  
Vol 116 (7) ◽  
pp. 1718-1724 ◽  
Author(s):  
Peirong Yu ◽  
Matthew M. Hanasono ◽  
Roman J. Skoracki ◽  
Donald P. Baumann ◽  
Jan S. Lewin ◽  
...  
Keyword(s):  
Anterolateral Thigh Flap ◽  
Anterolateral Thigh ◽  
Pharyngoesophageal Reconstruction

Externalized double monitoring skin paddles for buried anterolateral thigh flap in pharyngoesophageal reconstruction

Microsurgery ◽  
2018 ◽  
Vol 39 (2) ◽  
pp. 188-189
Author(s):  
Wan-Ling Tseng ◽  
Kuo-Shu Hung ◽  
Chia-Chin Tsai ◽  
Yao-Chou Lee
Keyword(s):  
Anterolateral Thigh Flap ◽  
Anterolateral Thigh ◽  
Pharyngoesophageal Reconstruction

Hypopharyngeal, Esophageal, and Neck Reconstruction

2018 ◽  
Author(s):  
Steven B Chinn
Keyword(s):  
Perforator Flap ◽  
Ulnar Artery ◽  
Good Alternative ◽  
Radial Forearm Flap ◽  
Anterolateral Thigh Flap ◽  
Forearm Flap ◽  
Anterolateral Thigh ◽  
Pharyngoesophageal Reconstruction ◽  
Radial Forearm ◽  
Artery Perforator

Organ preservation protocols with radiotherapy have become the primary treatment for stage I to III laryngeal and hypopharyngeal carcinoma. Many pharyngoesophageal defects are the result of salvage laryngopharyngectomy following radiation failure, making reconstruction more challenging. Given the detrimental effects of radiation on wound healing, reconstruction bathed in saliva, and the frozen neck with poor recipient vessels, pharyngoesophageal reconstruction requires great attention to detail to avoid catastrophic complications. In this review, we detail the commonly used flaps for pharyngoesophageal reconstruction, including the radial forearm flap, anterolateral thigh flap, and jejunal flap. In recent years, the anterolateral thigh flap has become the optimal flap for this type of reconstruction due to its minimal donor-site morbidity and excellent functional outcomes. Use of a two-skin island anterolateral flap allows for pharyngoesophageal reconstruction with simultaneous neck resurfacing. The profundus artery perforator flap can be a good alternative to the anterolateral thigh flap, whereas the ulnar artery perforator flap may be a good alternative to the radial forearm flap in certain cases. We discuss recipient vessel selection and conclude by outlining important postoperative considerations. This review contains 23 figures, 3 tables and 39 references Key words: anterolateral thigh flap, anteromedial thigh flap, frozen neck, gastro-omental flap, hypopharynx, laryngeal cancer, perforator flaps, pharyngocutaneous fistula, pharyngoesophageal reconstruction, profundus artery perforator flap, radial forearm flap, tracheoesophageal puncture, transverse cervical vessels, ulnar artery perforator flap

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