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Reconstruction of circumferential pharyngoesophageal defects with laryngotracheal flap and pectoralis major myocutaneous flap
Author(s) -
Chu PenYuan,
Chang ShyueYih
Publication year - 2002
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.10149
Subject(s) - medicine , surgery , hypopharyngeal cancer , laryngectomy , larynx , radiation therapy
Background Hypopharyngeal cancer often presents at an advanced stage. Radical surgery has played an important role in the treatment of these cases; however, it always results in a large, or even a circumferential, defect of the pharyngoesophageal segment (PES) that causes some difficulties during reconstruction. Materials and Methods Twelve patients with advanced hypopharyngeal cancer and cervical esophageal invasion received surgery resulting in a circumferential defect of PES, which was reconstructed with the contralateral unaffected laryngotracheal flap and a patch‐on pectoralis major myocutaneous flap (PMMCF). Results The operation time of this method was shorter compared with free flap reconstruction. Only two minor complications and no pharyngocutaneous fistulas were found postoperatively. Nine patients can resume a regular diet. During the follow‐up period (median, 38 months), there were no local recurrences and only one contralateral neck recurrence. Conclusions The preliminary result shows this technique is a simple and effective method with low morbidity and satisfactory oncologic and functional results. © 2002 Wiley Periodicals, Inc.