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Bipedicled submental musculofascial “hammock” flap for salvage laryngectomy closure reinforcement
Author(s) -
Hayden Richard E.,
Chang Brent A.,
Mullin David P.,
Patel Andrew K.,
Nagel Thomas H.,
Howard Brittany E.,
Hinni Michael L.,
Lott David G.,
Donald Carrlene B.
Publication year - 2021
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.26473
Subject(s) - laryngectomy , medicine , surgery , fistula , larynx
Abstract Background The aim of the study was to describe a novel technique for reinforcement of salvage laryngectomy closure using a bipedicled musculofascial submental flap. Methods A retrospective cohort study design identified patients who underwent salvage laryngectomy reinforcement with a bipedicled submental hammock flap between January 2008 and December 2016 were compared to salvage laryngectomy patients treated with primary closure of the neopharynx during the same time period. Pharyngocutaneous fistula rates were compared between groups. Results Pharyngocutaneous fistula rate in the submental hammock group (2/31, 6.5%) was significantly lower compared to the primary closure group (14/45, 31%, P < .05). Conclusion The bipedicled musculofascial submental hammock flap is a viable method for reinforcement of salvage laryngectomy defects. It has a favorable pharyngocutaneous fistula rate compared to primary closure alone and has unique advantages over conventional methods of reinforcement.