Infrahyoid muscle flap as augmentation of pharyngeal repair after total laryngectomy

Introduction To assess the usage of contralateral infrahyoid muscles as onlay flap in prevention of pharyngo‐cutaneous fistula (PCF) in total laryngectomy (TL) patients with high risk factors of PCF development. Methods This study included 10 patients who suffered from advanced laryngeal carcinoma w...

Full description

Saved in:
Bibliographic Details
Published in:Clinical otolaryngology 2024-07, Vol.49 (4), p.512-517
Main Authors: Sweed, Ahmed Hassan, Abdulmageed, Alsayed, Nofal, Ahmed Abdelfattah Bayomy, Elmaghawry, Mohammed Elsayed, Alnemr, Mohamed Abdelmohsen
Format: Article
Language:English
Subjects:
Aged
Congestive heart failure
Cutaneous Fistula - etiology
Cutaneous Fistula - prevention & control
Female
Humans
infrahyoid muscle flap
Laryngeal cancer
Laryngeal carcinoma
Laryngeal Neoplasms - surgery
Laryngectomy - methods
Male
Middle Aged
Muscles
neopharynx
Pharyngeal Diseases - etiology
Pharyngeal Diseases - prevention & control
pharyngocutaneous fistula
Pharynx
Pharynx - surgery
Plastic Surgery Procedures - methods
Postoperative Complications - prevention & control
Risk Factors
Surgical Flaps
total laryngectomy
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Introduction To assess the usage of contralateral infrahyoid muscles as onlay flap in prevention of pharyngo‐cutaneous fistula (PCF) in total laryngectomy (TL) patients with high risk factors of PCF development. Methods This study included 10 patients who suffered from advanced laryngeal carcinoma with presence of risk factors for development of PCF. We added an enforcement muscular layer during neo‐pharynx wall repair, the infrahyoid muscle flap of the contralateral side of the tumour origin as an onlay muscular flap to cover the anastomotic site for healing augmentation. Patients were followed up for PCF development where the PCF incidence was calculated. Results One patient died from congestive heart failure in the 21th post‐operative day so, the actual PCF rate in TL patients with high risk factors of PCF development in our study was 11.11% (1 out of 9 cases). Conclusions Infrahyoid muscle flap may have a role in preventing PCF after TL in patients with high risk factors of PCF development in this case series study to be further assessed in other studies to justify its role. Level of evidence: 4.
ISSN:1749-4478
1749-4486
1749-4486
DOI:10.1111/coa.14166