Hypopharyngeal mucosal flap reconstruction in endoscopic supraglottic laryngectomy

Mannelli, Giuditta; Parrinello, Giampiero; Gallo, Oreste

doi:10.1016/j.amjoto.2013.05.007

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…While voice preservation may be achieved, supraglottic laryngectomy often results in chronic aspiration (Breunig et al, 2016). Various attempts to address this problem have been undertaken (Table 1; Bloching & Berghaus, 2004; Dong et al, 2009; Grajek et al, 2015; Hamoir et al, 2012; Hsiao et al, 2010; Mannelli et al, 2013; Masuda et al, 2013; Mihara et al, 2011; Sakuraba et al, 2008; Schwager et al, 1999). Bloching & Berghaus (2004) combined a radial forearm flap with nasoseptal cartilage aimed to reconstruct the epiglottis in a case series of seven patients with supraglottic laryngeal cancer.…”

Section: Discussionmentioning

confidence: 99%

Preservation of laryngeal function through reconstruction of the supraglottis and thyrohyoid membrane with a chimeric anterolateral thigh flap after supraglottic laryngectomy: A case report and literature review

Werner

Scaglioni

et al. 2021

Microsurgery

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Supraglottic laryngectomy offers a treatment option in laryngeal cancer confined to the supraglottis with the aim to preserve laryngeal functions. Current reconstruction modalities face the challenges of restoring swallow function and preventing chronic aspiration. In this report, we present for the first time a case in which the thyrohyoid membrane and supraglottis were reconstructed using a chimeric anterolateral thigh (ALT) flap. Horizontal supraglottic laryngectomy was performed in a 70‐year‐old male patient with recurrent supraglottic laryngeal cancer after primary radiotherapy. The chimeric ALT flap used for reconstruction measured 7 x 20 cm and was based on two perforators, allowing it to be divided in two parts. The larger deepithelialized fasciocutaneous paddle was used for the reconstruction of the supraglottic defect and the smaller skin paddle was utilized as monitor flap and for neck resurfacing. The chimeric ALT flap was anastomosed to the superior thyroid artery and to a branch of the internal jugular vein. The postoperative recovery was uneventful. Laryngeal functions, including an unimpaired voice, could be preserved. Six months postoperatively, the patient showed no signs of chronic aspiration or tumor recurrence. Using a chimeric ALT free flap for reconstruction after horizontal supraglottic laryngectomy may prevent chronic aspiration through restoration of larynx elevation, mobility, and thus airway protection during deglutition due to increased supraglottic bulk.

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Section: Discussionmentioning

confidence: 99%

Preservation of laryngeal function through reconstruction of the supraglottis and thyrohyoid membrane with a chimeric anterolateral thigh flap after supraglottic laryngectomy: A case report and literature review

Werner

Scaglioni

et al. 2021

Microsurgery

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Oropharyngeal dysphagia: manifestations and diagnosis

Rommel

Hamdy

2015

Nat Rev Gastroenterol Hepatol

186

149

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Swallowing disorders (dysphagia) have been recognized by the WHO as a medical disability associated with increased morbidity, mortality and costs of care. With increasing survival rates and ageing of the population, swallowing disorders and their role in causing pulmonary and nutritional pathologies are becoming exceedingly important. Over the past two decades, the study of oropharyngeal dysphagia has been approached from various disciplines with considerable progress in understanding its pathophysiology. This Review describes the most frequent manifestations of oropharyngeal dysphagia and the clinical as well as instrumental techniques that are available to diagnose patients with dysphagia. However, the clinical value of these diagnostic tests and their sensitivity to predict outcomes is limited. Despite considerable clinical research efforts, conventional diagnostic methods for oropharyngeal dysphagia have limited proven accuracy in predicting aspiration and respiratory disease. We contend that incorporation of measurable objective assessments into clinical diagnosis is needed and might be key in developing novel therapeutic strategies.

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Hypopharyngeal mucosal flap reconstruction in endoscopic supraglottic laryngectomy

Abstract: Purpose: Preservation of voice, swallowing and airway is mandatory in early to moderately advanced supraglottic cancers. Here, we propose an endoscopic laryngoplasty to improve swallowing recovery in patients treated by extended CO 2 laser supraglottic laryngectomy.

Cited by 2 publications

References 13 publications

Preservation of laryngeal function through reconstruction of the supraglottis and thyrohyoid membrane with a chimeric anterolateral thigh flap after supraglottic laryngectomy: A case report and literature review

Preservation of laryngeal function through reconstruction of the supraglottis and thyrohyoid membrane with a chimeric anterolateral thigh flap after supraglottic laryngectomy: A case report and literature review

Oropharyngeal dysphagia: manifestations and diagnosis

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