Laryngopharyngeal Repair in Salvage Laryngectomy

Bearelly, Shethal; Heaton, Chase M.; Seth, Rahul; Knott, P Daniel

doi:10.1007/s40136-016-0125-1

Cited by 3 publications

(1 citation statement)

References 64 publications

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“…A perioperative mortality rate was 3.8% in a series of 368 patients who had jejunal free flap for circumferential laryngopharyngectomy defects [52]. The potential morbidity of abdominal surgery such as postoperative ileus, wound infection, bowel obstruction, superior mesenteric syndrome, intra-abdominal bleeding, and delayed enteric feeding are significant complications in an already medically compromised population [53]. The jejunal flap is less tolerant of ischaemia and has a shorter pedicle than other flaps such as the ALT or gastro-omental flaps.…”

Section: Jejunal Free Flapmentioning

confidence: 99%

Reconstruction of Pharyngeal Defects

Yabe¹,

Ashford²

2021

Surgical Management of Head and Neck Pathologies

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The management of pharyngeal defects is one of the most challenging tasks for reconstructive surgeons. The reconstructive method is driven by the amount of tissue loss as well as patient-related factors. Since the advent of organ preservation strategies in the 1990s as described by the Department of Veterans Affairs Laryngeal Cancer Study, salvage surgery has become a common pharyngeal procedure to obtain local control when nonsurgical treatment fails. This chapter is divided into preoperative, intraoperative, and postoperative phases of patient management. Each section will focus on particular aspects of management that are essential to achieve the best therapeutic outcome for patients who need pharyngeal reconstruction.

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Section: Jejunal Free Flapmentioning

confidence: 99%

Reconstruction of Pharyngeal Defects

Yabe¹,

Ashford²

2021

Surgical Management of Head and Neck Pathologies

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Reconstruction after salvage laryngectomy

2017

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Using the DASH Questionnaire to Evaluate Donor Site Morbidity of the Serratus Anterior Free Flap in Head and Neck Reconstruction: A Multicenter Study

Janik

Pyka

Faisal

et al. 2022

JCM

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Objective: To evaluate donor site morbidity of the serratus anterior free flap (SAFF) in head and neck reconstruction. Methods: The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire (0 no disability to 100 most severe disability) was applied to 20 patients (M: 16; F: 4) who underwent ablative surgery and reconstruction of the head and neck using a SAFF. Applications, as well as the donor site, recipient site and flap-related complications, were evaluated. Results: SAFF was mainly used for tongue (n = 11; 55.0%) and pharyngeal reconstruction after a laryngopharyngectomy (n = 4; 20.0%). The majority of patients presented with stage IV disease (n = 12; 60%) and had undergone previous radiotherapy (n = 14; 70%). Our free flap survival rate was 88.9% and the pectoralis major muscle flap (PMMF) was used in 5 patients as a salvage option to reconstruct pharyngeal defects. The mean/median DASH score was 21.6/19.9 (healthy norm 10.1), indicating only mild to moderate disability. However, free flap failure and the additional harvest of PMMF multiplies donor site morbidity since it was associated with a 3- and 2.6-times higher DASH score (46.0 vs. 15.5; p = 0.039 and 39.9 vs. 15.47; p = 0.081). Conclusions: The SAFF represents a versatile flap for head and neck reconstruction with low donor site morbidity.

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Laryngopharyngeal Repair in Salvage Laryngectomy

Cited by 3 publications

References 64 publications

Reconstruction of Pharyngeal Defects

Reconstruction of Pharyngeal Defects

Reconstruction after salvage laryngectomy

Using the DASH Questionnaire to Evaluate Donor Site Morbidity of the Serratus Anterior Free Flap in Head and Neck Reconstruction: A Multicenter Study

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