Reconstruction of the hypopharynx with U-shaped pectoralis major myocutaneous flap after total pharyngo-laryngectomy

Resection of the whole circumference of the pharynx and esophagus is usually reconstructed with gastric pull-up, jejunum free graft or free forearm flap. The aim of this study was to assess the use of pectoralis major myocutaneous flap for closure of total pharyngeal defect. In 11 patients with hypo...

Full description

Saved in:
Bibliographic Details
Published in:European archives of oto-rhino-laryngology 2005-04, Vol.262 (4), p.259-262
Main Authors: MORSHED, Kamal, SZYMANSKI, Marcin, GOŁABEK, Wiesław
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Carcinoma, Squamous Cell - surgery
Deglutition - physiology
Humans
Hypopharyngeal Neoplasms - surgery
Hypopharynx - surgery
Laryngectomy
Male
Medical sciences
Middle Aged
Otorhinolaryngology. Stomatology
Pectoralis Muscles - transplantation
Pharyngectomy
Recovery of Function - physiology
Surgical Flaps
Suture Techniques
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Resection of the whole circumference of the pharynx and esophagus is usually reconstructed with gastric pull-up, jejunum free graft or free forearm flap. The aim of this study was to assess the use of pectoralis major myocutaneous flap for closure of total pharyngeal defect. In 11 patients with hypopharynx and larynx cancer, total pharyngo-laryngectomy and excision of the cervical part of the esophagus and neck dissections were performed; the defects were closed with pectoralis major myocutaneous flaps. The skin island was sutured to prevertebral muscles, forming a letter U shape. Good healing was obtained in six patients, and five patients developed fistula that closed spontaneously within 3-4 weeks. The use of U-shaped pectoralis major myocutaneous flap, suturing it to prevertebral muscles, gives good functional results, and it is a simple and time-saving second choice method of reconstruction of the pharynx after total pharyngo-laryngectomy.
ISSN:0937-4477
1434-4726
DOI:10.1007/s00405-004-0809-x