Document Detail


Radial forearm free flap pharyngoesophageal reconstruction.
MedLine Citation:
PMID:  11359159     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: This study evaluates the outcome of pharyngoesophageal reconstruction using radial forearm free flaps with regard to primary wound healing, speech, and swallowing in patients requiring laryngopharyngectomy. STUDY DESIGN: Retrospective review in the setting of a tertiary, referral, and academic center. PATIENTS AND METHODS: Twenty patients underwent reconstruction of the pharyngoesophageal segment using fasciocutaneous radial forearm free flaps. RESULTS: All free flap transfers were successful. An oral diet was resumed in 85% of the patients after surgery. Postoperative pharyngocutaneous fistulas occurred in 4 patients (20%) with 3 resolving spontaneously. Distal strictures also occurred in 20% of the patients. Five patients who underwent tracheoesophageal puncture achieved useful speech. CONCLUSIONS: Advantages of radial forearm free flaps for microvascular pharyngoesophageal function include high flap reliability, limited donor site morbidity, larger vascular pedicle caliber, and the ability to achieve good quality tracheoesophageal speech. The swallowing outcome is similar to that achieved after jejunal flap pharyngoesophageal reconstruction. The main disadvantage of this technique relates to a moderately high incidence of pharyngocutaneous fistulas, which contributes to delayed oral intake in affected patients.
Authors:
B Azizzadeh; S Yafai; J D Rawnsley; E Abemayor; J A Sercarz; T C Calcaterra; G S Berke; K E Blackwell
Related Documents :
18645129 - Framework changes using costal cartilage for microtia reconstruction.
18343289 - The spiral flap for fingertip resurfacing: short-term and long-term results.
17933539 - Patterns of failure with time of an artificial scaffold class ligament used for reconst...
16517309 - Bone mineral density in the proximal tibia and calcaneus before and after arthroscopic ...
16904589 - Intra-articular drain versus no drain after arthroscopic anterior cruciate ligament rec...
24672569 - A successful treatment of rhinocerebral mucormycosis due to rhizopus oryzae.
10762769 - Comparison of angiographic and clinical outcome after cutting balloon and conventional ...
11383799 - A policy of elective delayed sternal closure does not improve the outcome after arteria...
16036529 - Long-term follow-up of interferon monotherapy in 454 consecutive naive patients infecte...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  111     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  2001 May 
Date Detail:
Created Date:  2001-05-18     Completed Date:  2001-06-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  United States    
Other Details:
Languages:  eng     Pagination:  807-10     Citation Subset:  IM    
Affiliation:
University of California Los Angeles School of Medicine, Los Angeles, CA 90095, U.S.A.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Carcinoma, Squamous Cell / surgery
Esophagoplasty / methods*
Female
Forearm
Humans
Hypopharynx / surgery
Male
Middle Aged
Pharyngeal Neoplasms / surgery
Pharynx / surgery*
Postoperative Complications
Reconstructive Surgical Procedures / methods*
Speech, Esophageal
Surgical Flaps*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Labyrinthine fistula: an unreported complication of the Grote prosthesis.
Next Document:  Epstein-Barr virus DNA is not increased in tonsillar carcinoma.