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A novel radial forearm free flap design to treat pharyngoesophageal stenosis in combination with the posterior wall of the trachea
Author(s) -
Spaulding Sarah L.,
Yue Lauren E.,
O'Malley Quinn F.,
Sims John R.,
Urken Mark L.
Publication year - 2019
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.25758
Subject(s) - medicine , laryngectomy , stenosis , surgery , tracheal stenosis , complication , forearm , radiation therapy , larynx , radiology
Pharyngoesophageal stenosis (PES) is a common and serious complication of head and neck cancer treatments such as radiation therapy, chemotherapy, tracheoesophageal puncture placement, and total laryngectomy surgery. Dilation‐resistant stenosis requires surgical reconstruction, often with a radial forearm free flap (RFFF). With the present technique, the authors refine their previous bipaddled free flap design used to reconstruct a persistent tracheoesophageal fistulae (TEF) in combination with PES. Accordingly, we present a novel bipaddled triangular RFFF design ideally suited to address the shape of the defect in the posterior tracheal wall that results when the TEF is opened and the esophageal and tracheal components are restored.