Pharyngoesophageal Reconstruction With the Ulnar Forearm Flap

Abstract

This versatile technique achieves excellent results with a decreased complication rate compared with other methods currently available in pharyngoesophageal reconstruction.

Functional outcomes and donor site morbidity following circumferential pharyngoesophageal reconstruction using an anterolateral thigh flap and salivary bypass tube

“…Many fasciocutaneous flaps have been described for the reconstruction of pharyngeal defects, including the radial forearm, 11 lateral thigh, 12 lateral arm, 13 scapular, 13 peroneal, 14 and the ulnar forearm. 15 The ALT has all the advantages of a fasciocutaneous reconstruction over the gastric pull-up or free jejunal transfer. It is distant to the resection site and therefore not in the zone of radiotherapy, allows a 2-team approach, and does not violate the thoracic or abdominal cavities.…”

Ulnar versus radial forearm flap in head and neck reconstruction: An experimental and clinical study

“…12,15 The more concealed donor area in the medial (ulnar) region is better accepted, especially by women, in contrast to the difficult to camouflage donor region located at the radial (lateral) aspect of the forearm with a noticeable skin graft, which is often under the surrounding skin level (Fig. 4).…”

Bare dorsal thoracic fascial flap for esophageal defects: an experimental study with dogs

“…However, poor wound healing between mucosa and skin may result in leakage, which is a major concern [2,3]. In addition, a tubed fasciocutaneous free flap may lead to the development of a distal stricture in the long term, which necessitates both medication and dilation [4].…”