Pharyngoesophageal Reconstruction Using a Fabricated Forearm Free Flap

Harii, Kiyonori; Ebihara, Satoshi; Ono, Isamu; Saito, Hiroo; Terui, Shoji; Takato, Tsuyoshi

doi:10.1097/00006534-198504000-00001

Cited by 161 publications

(34 citation statements)

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“…As a result, functional swallowing around 90% has been described by several authors using radial forearm [36,41,42,48,49], with normal or regular diet in up to 66% of patients [46]. As a result, functional swallowing around 90% has been described by several authors using radial forearm [36,41,42,48,49], with normal or regular diet in up to 66% of patients [46].…”

Section: Fasciocutaneous Free Flapsmentioning

confidence: 99%

Reconstructive options after total laryngectomy with subtotal or circumferential hypopharyngectomy and cervical esophagectomy

Piazza

Taglietti

Nicolai

2012

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Section: Fasciocutaneous Free Flapsmentioning

confidence: 99%

Reconstructive options after total laryngectomy with subtotal or circumferential hypopharyngectomy and cervical esophagectomy

Piazza

Taglietti

Nicolai

2012

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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“…With the development of microsurgical techniques, several fasciocutaneous free flaps from the radial forearm and anterolateral thigh have been widely utilized for the reconstruction of the hypopharynx [4]. Among the many free skin flaps available the radial forearm flap, which was first reported to be used for pharyngoesophageal reconstruction in 1985 [5], is the most popular free flap for head and neck soft tissue reconstruction after tumor extirpation. The radial forearm flap is the most popular fasciocutaneous flap for hypopharyngeal reconstruction, but its therapeutic benefits are accompanied by significant donor site morbidity, including a significant skin graft scar and wrist joint stiffness, which are proportional to the size of the harvested flap.…”

Section: Introductionmentioning

confidence: 99%

Free posterior tibial flap reconstruction for hypopharyngeal squamous cell carcinoma

et al. 2014

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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.

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“…In contrast, both the radial forearm free flap and the jejunal free flap are thin and pliable, well vascularised and anatomically reliable. Their versatility in pharyngo-oesophageal reconstruction has been reported by several authors (3,8,16).…”

Section: Discussionmentioning

confidence: 86%

Closure of Large Pharyngo-Oesophageal Fistulas With Free Flap Transfer After Resections for Cancer

Nakatsuka

Harii

Ebihara³

et al. 1998

Scandinavian Journal of Plastic and Reconstructive Surgery and

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Postoperative salivary fistulas still remain a serious and potentially lethal problem in head and neck reconstruction particularly if the fistula is large and involving one half or more of the circumference of the pharyngo-oesophagus. Pedicled flaps have traditionally been the flaps of choice for closure of these fistulas, but the results are often disappointing. During the period 1982 to 1995, we have used either a radial forearm free flap or a jejunal free flap to close large and complex pharyngo-oesophageal fistulas after resection for cancer in 15 patients. Although two patients developed major fistulas that required additional operations for closure, successful closure was achieved in all but one case: the success rate was therefore 14/15 (93%). We consider that jejunal flaps are suitable for circumferential pharyngo-oesophageal reconstruction and forearm flaps for non-circumferential defects.

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Pharyngoesophageal Reconstruction Using a Fabricated Forearm Free Flap

Cited by 161 publications

References 0 publications

Reconstructive options after total laryngectomy with subtotal or circumferential hypopharyngectomy and cervical esophagectomy

Reconstructive options after total laryngectomy with subtotal or circumferential hypopharyngectomy and cervical esophagectomy

Free posterior tibial flap reconstruction for hypopharyngeal squamous cell carcinoma

Closure of Large Pharyngo-Oesophageal Fistulas With Free Flap Transfer After Resections for Cancer

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