Functional outcomes and donor site morbidity following circumferential pharyngoesophageal reconstruction using an anterolateral thigh flap and salivary bypass tube
- 4 October 2006
- journal article
- research article
- Published by Wiley in Head & Neck
- Vol. 29 (2), 147-154
- https://doi.org/10.1002/hed.20489
Abstract
Background. This study reports our experience with fasciocutaneous reconstruction of circumferential pharyngoesophageal defects using an anterolateral thigh flap wrapped around a salivary bypass tube. Methods. The charts of 14 patients were reviewed. All patients who had reconstruction of a pharyngoesophageal defect using an anterolateral thigh flap with a salivary bypass tube between 2001 and 2005 were included. Results. There were 10 men and 4 women (mean age, 61 years). There were no fistulae reported, and the stricture rate was 14%. Eleven patients achieved oral diet sufficient to have the gastrostomy or jejunal tube removed. The patients who had tracheoesophageal puncture for voice developed functional speech. There were no flap losses. However, problems with salivary tube migration in the early cases have led to technique refinement. Conclusions. The low complication rates and the excellent functional outcomes make the anterolateral thigh flap in combination with a salivary bypass tube a viable option for reconstruction of these difficult defects. © 2006 Wiley Periodicals, Inc. Head Neck, 2006This publication has 47 references indexed in Scilit:
- Functional Outcomes after Circumferential Pharyngoesophageal ReconstructionThe Laryngoscope, 2005
- Pharyngocutaneous fistulaCurrent Opinion in Otolaryngology & Head and Neck Surgery, 2003
- Speech and swallowing outcomes in reconstructions of the pharynx and cervical esophagusHead & Neck, 2003
- Reconstruction with radial forearm flaps after ablative surgery for hypopharyngeal cancerHead & Neck, 2002
- Free revascularized jejunal loop repair following total pharyngolaryngectomy for carcinoma of the hypopharynx: Report of 90 patientsBritish Journal of Surgery, 1996
- Free revascularized jejunal loop repair following total pharyngolaryngectomy for carcinoma of the hypopharynx: Report of 90 patientsBritish Journal of Surgery, 1996
- Treatment of nondilatable malignant pharyngoesophageal strictures by Montgomery salivary bypass tube: a new approachGastrointestinal Endoscopy, 1995
- Total Reconstruction of the Hypopharynx and Cervical Esophagus: A 20-Year ExperienceAnnals of Plastic Surgery, 1992