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Circumferential pharyngeal reconstruction: History, critical analysis of techniques, and current therapeutic recommendations
Author(s) -
Patel Rajan S.,
Goldstein David P.,
Brown Dale,
Irish Jonathan,
Gullane Patrick J.,
Gilbert Ralph W.
Publication year - 2010
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.21169
Subject(s) - head and neck , medicine , rehabilitation , intensive care medicine , surgery , physical therapy
Reconstruction of circumferential pharyngeal defects following total pharyngolaryngectomy presents major challenges with respect to surgical morbidity and restoration of functional deficits, which are often made more demanding by the increasing trend to utilize primary chemoradiation protocols with surgery reserved for salvage cases. The present review evaluates the reconstructive techniques described in the literature, including historical techniques as well as more recent innovative methods. Each technique is critically appraised with particular reference to postoperative morbidity and functional rehabilitation. Treatment recommendations are made based on the available evidence. © 2009 Wiley Periodicals, Inc. Head Neck, 2010