Premium
Modified ileocolic free flap: Viable choice for reconstruction of total laryngopharyngectomy with total glossectomy
Author(s) -
Rossmiller Sarah R.,
Ghanem Tamer A.,
Gross Neil D.,
Wax Mark K.
Publication year - 2009
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.21083
Subject(s) - medicine , glossectomy , surgery , trismus , free flap , free flap reconstruction , head and neck , oral cavity , laryngectomy , dentistry , tongue , larynx , pathology
Background Reconstruction following total laryngopharyngectomy and total glossectomy is quite challenging. Many free flaps are not options for reconstruction of this particular defect because of the large area that requires reconstruction and the size discrepancies of the oral and esophageal stomas. We propose a modified ileocolic free flap for reconstruction of these defects. Methods We conducted a retrospective chart review. Results Two patients underwent a modified ileocolic free flap following total laryngopharyngectomy and total glossectomy. One of these patients was able to tolerate thin liquids by mouth, and 1 patient developed severe trismus limiting oral intake. There were no significant flap‐related complications aside from fistula in 3 patients that healed with conservative management. Conclusions The modified ileocolic free flap is a viable option for reconstruction following total laryngopharyngectomy and total glossectomy. © 2009 Wiley Periodicals, Inc. Head Neck, 2009