Free posterior tibial flap reconstruction for hypopharyngeal squamous cell carcinoma

Abstract

ObjectivesThe aim of this article was to determine outcomes in patients with squamous cell carcinoma of the hypopharynx (SCCHP) in whom the free posterior tibial flap was used for primary reconstruction of hypopharynx defects after cancer resection.Subjects and methodsBetween August 2009 and February 2012, 10 patients with SCCHP underwent posterior tibial flap reconstruction for hypopharynx defects. The corresponding clinical data were retrospectively collected and analyzed.ResultsDespite the multistep and time-consuming procedure, the posterior tibial flap survival rate was 100%. Operation-induced complications did not occur in four patients. Six patients developed postoperative hypoproteinemia, four patients developed postoperative pulmonary infections, and four patients developed pharyngeal fistula. The pharyngeal and laryngeal functions of all patients were preserved.ConclusionOur experience demonstrates that the posterior tibial flap is a safe and reliable choice for the reconstruction of hypopharynx defects.

Application of xenogenic acellular dermal matrix in reconstruction of oncological hypopharyngeal defects

“…3 Electronic laryngoscopic examination of one patient 2 months after surgery, the draft was covered by mucosal like tissue (white arrow) Eur Arch Otorhinolaryngol incidence of pharyngeal fistula ranged from 16.2 to 40 % in flap based reconstruction surgery. Old age, poor tolerance to major operation and severe nutritional deficiencies were ascribed [3,8,15]. The incidence rate of pharyngeal fistula in this study is less than the reported, which would attribute to short operation time, less intraoperative bleeding, proper antibiotic therapy,enteral nutrition and excellent blood circulation derived from thyroid gland.…”

Free posterior tibial artery perforator flap for 2‐stage tracheal reconstruction in patients after resection of well‐differentiated thyroid carcinoma invading the trachea

“…Compared with a free radial forearm flap, a posterior tibial flap can provide similar tissue properties; moreover, its unsightly scar has a less noticeable surface than that of a free radial forearm flap. Considering that patients with advanced‐stage WDTC probably need postoperative adjuvant radioactive iodine 131 treatment, and there is a possibility of forming scar adhesions between the FPTAPF and the surrounding tissue after 6 months postoperatively, which may be helpful in reducing airway collapse during inhalation and achieve a better tracheal functional recovery than without scar adhesions, a 2‐stage tracheal reconstruction strategy with a FPTAPF was used to restore normal function of the trachea for WDTC patients in the present study.…”

“…As a result, a free posterior tibial artery perforator flap (FPTAPF) has been considered a good selection in tissue defects repair. In our previous studies, we reported that a FPTAPF could be used in reconstructions of oropharyngeal and hypopharyngeal defects with good prognosis. Therefore, we considered that a FPTAPF might be an attractive alternative approach to tracheal reconstruction after tumor resection for patients with WDTC invading the trachea.…”

Postoperative outcomes of free myocutaneous flap and pedicled myocutaneous flap for reconstruction in locally invasive thyroid carcinoma

“…Flap reconstruction may complicate wound healing and cause fistula, hemorrhage, necrosis, and dehiscence. [ 23 ] It may further aggravate the formation of stenosis and prolong dependence of gastric tube. These conditions not only increase the cost and time in the hospital, but also cause hidden psychological damage to patients.…”