Role of the temporoparietal fascia free flap in salvage total laryngectomy

Head & Neck ◽  
2021 ◽  
Author(s):  
Gabriele Molteni ◽  
Luca Gazzini ◽  
Andrea Sacchetto ◽  
Riccardo Nocini ◽  
Daniele Marchioni
Keyword(s):  
Free Flap ◽  
Total Laryngectomy ◽  
Temporoparietal Fascia

scholarly journals Temporoparietal fascia free flap for pharyngeal coverage after salvage total laryngectomy

2011 ◽  
Vol 122 (3) ◽  
pp. 523-527 ◽  
Author(s):  
Kevin M. Higgins ◽  
Bruce Ashford ◽  
Boban M. Erovic ◽  
John Yoo ◽  
Danny J. Enepekides
Keyword(s):  
Free Flap ◽  
Total Laryngectomy ◽  
Temporoparietal Fascia

S154 – Primary TEP and Patch Free-Flap Laryngectomy Reconstruction

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P128-P128 ◽  
Author(s):  
Tamer Abdel-Halim Ghanem ◽  
Justin McLarty ◽  
Farhad Ardeshirpour ◽  
Christopher F Baranano ◽  
Eben L Rosenthal ◽  
...  
Keyword(s):  
Free Flap ◽  
Total Laryngectomy ◽  
Demographic Data ◽  
Free Flaps ◽  
Fistula Formation ◽  
Increased Risk ◽  
Radial Forearm ◽  
Speech Therapist ◽  
Fistula Rate ◽  
Tracheoesophageal Puncture

Objectives 1. Assess speech outcomes for patients undergoing primary tracheoesophageal puncture (TEP) following total laryngectomy (TL) with patch free flap reconstruction. 2. Evaluate risk of fistulization following primary TEP vs. no TEP in patch free flap TL reconstruction. Methods Patients undergoing reconstruction with patch free-flaps following TL were studied retrospectively. Demographic data, surgical procedures, speech outcomes, and postoperative complications were collected. Patients were divided in 2 groups depending on whether TEP was performed at the time of ablation (primary TEP). Voice outcomes were assessed by a speech therapist. Results 77 patients underwent TL, mean age of 63 years. Glottis (60%), followed by hypopharynx (18%), and supraglottis (17%) were the most common tumor sites. Most patients had T3 and T4 disease (71%) on initial presentation, and there were 57% undergoing salvage total laryngectomy. The radial forearm fascioucutaneous free flap was used in 90% of the cases. Primary TEP was performed in 44 patients (57%), and only 1 of 33 patients underwent a TEP procedure secondarily. Voice outcomes for the TEP group were good. The overall fistula rate was 39%, half of which healed spontaneously. The fistula rate in the primary TEP group was 41%, and in the group not receiving primary TEP it was 36.7% (p=0.87). Conclusions Primary TEP performed at the time of free-flap patch reconstruction after TL enhances speech outcomes for patients, and does not lead to an increased risk in fistula formation.

Role of ulnar forearm free flap in oromandibular reconstruction

Microsurgery ◽  
2004 ◽  
Vol 24 (4) ◽  
pp. 285-288 ◽  
Author(s):  
E.M. Gabr ◽  
M.R. Kobayashi ◽  
A.H. Salibian ◽  
W.B. Armstrong ◽  
M. Sundine ◽  
...  
Keyword(s):  
Free Flap ◽  
Oromandibular Reconstruction

scholarly journals COVID-19 and Total Laryngectomy—A Report of Two Cases

2020 ◽  
Vol 130 (1) ◽  
pp. 104-107
Author(s):  
Alberto Paderno ◽  
Milena Fior ◽  
Giulia Berretti ◽  
Francesca Del Bon ◽  
Alberto Schreiber ◽  
...  
Keyword(s):  
Airway Management ◽  
Total Laryngectomy ◽  
Oxygen Therapy ◽  
Clinical Course ◽  
Support Staff ◽  
Vulnerable Population ◽  
Case Presentation ◽  
Anatomical Changes ◽  
Choice Of Treatment

Objective: To date, no cases have been reported on the effects of COVID-19 in laryngectomees. Case Presentation: We herein presented two clinical cases of laryngectomized patients affected by COVID-19, detailing their clinical course and complications. Discussion: In our experience, permanent tracheostomy did not significantly affect the choice of treatment. However, dedicated devices and repeated tracheal toilettes may be needed to deal with oxygen-therapy-related tracheal crusting. Conclusion: In conclusion, laryngectomees should be considered a vulnerable population that may be at risk for worse outcomes of COVID-19 due to anatomical changes in their airways. The role of the ENT specialist is to guide airway management and inform the support-staff regarding specific needs of these patients.

scholarly journals The role of medial gastrocnemius free flap in coverage of ischial pressure sore in paraplegic patients

2008 ◽  
Vol 6 (6) ◽  
pp. e72-e76 ◽  
Author(s):  
Teresa Pérez de la Fuente ◽  
Isabel González ◽  
Francisco Calderón-Muñoz
Keyword(s):  
Free Flap ◽  
Pressure Sore ◽  
Medial Gastrocnemius

The Role of Donor Site Angiography before Mandibular Reconstruction Utilizing Free Flap

2007 ◽  
Vol 23 (4) ◽  
pp. 199-204 ◽  
Author(s):  
Nawaiz Ahmad ◽  
Rouzbeh Kordestani ◽  
Jayesh Panchal ◽  
James Lyles
Keyword(s):  
Free Flap ◽  
Donor Site ◽  
Mandibular Reconstruction

Vascular complications and microvascular free flap salvage: The role of thrombolytic agents

Microsurgery ◽  
2011 ◽  
Vol 31 (7) ◽  
pp. 505-509 ◽  
Author(s):  
Eric I. Chang ◽  
Babak J. Mehrara ◽  
Jaco H. Festekjian ◽  
Andrew L. Da Lio ◽  
Christopher A. Crisera
Keyword(s):  
Free Flap ◽  
Vascular Complications ◽  
Thrombolytic Agents ◽  
Microvascular Free Flap
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