Document Detail

Radial forearm free flap pharyngoesophageal reconstruction.
MedLine Citation:
PMID:  11359159     Owner:  NLM     Status:  MEDLINE    
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.
B Azizzadeh; S Yafai; J D Rawnsley; E Abemayor; J A Sercarz; T C Calcaterra; G S Berke; K E Blackwell
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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    
University of California Los Angeles School of Medicine, Los Angeles, CA 90095, U.S.A.
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MeSH Terms
Carcinoma, Squamous Cell / surgery
Esophagoplasty / methods*
Hypopharynx / surgery
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

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