Tracheal advancement with myomucosal island flap for partial laryngopharyngectomy defect reconstruction

Abstract

This technique is single-staged, easier compared to existing techniques, aids "like-for-like" reconstruction, and allows surgical organ preservation in selected laryngeal and hypopharyngeal cancers.

Islanded facial artery musculo‐mucosal flap for partial pharyngeal defect reconstruction after total laryngectomy: Case report

“…The islanded FAMM flap has been described for the oropharyngeal, floor of the mouth, and tongue defects 5,6 . A case report of tracheal advancement with myomucosal island flap for laryngopharyngeal defect post partial laryngectomy has been described with good functional outcomes 7 . However, the use of such an islanded FAMM flap has not been described for partial pharyngeal defects following total laryngectomy.…”

“…6 Another case of this islanded flap used for the reconstruction of partial laryngectomy defect has been reported. 7 Here, we use this islanded FAMM flap to reconstruct a partial pharyngeal defect after total laryngectomy. The use of the FAMM flap for such a pharyngeal defect closure has not been reported earlier in the literature.…”

“…Joseph et al have used an islanded FAMM flap, a technical variant, in which the flap is islanded on the facial vessels, brought in the neck, and then is tunneled on the lingual side of the mandible, to reconstruct the lateral tongue defects 6 . Another case of this islanded flap used for the reconstruction of partial laryngectomy defect has been reported 7 . Here, we use this islanded FAMM flap to reconstruct a partial pharyngeal defect after total laryngectomy.…”