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One‐stage dermal pedicle flap reconstruction of the oropharynx (an experimental and clinical study
Author(s) -
Kohut Robert I.,
Small Ralph,
Suesberry Wilbur,
Bain Leslie,
Akazawa Melvin,
Bridger William
Publication year - 1976
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-197603000-00005
Subject(s) - single stage , stage (stratigraphy) , medicine , surgery , blood supply , anastomosis , biology , paleontology , engineering , aerospace engineering
A single stage dermal pedicle graft method for reconstruction of oropharyngeal defects is presented. Its successful clinical use is described. The advantages of the method include large surface‐to‐surface anastomosis which appears to minimize breakdown secondary to hypovascularity of an irradiated recipient bed. Other advantages include its single stage feature, persistent blood supply, avoidance of external tubed pedicles and intermediate salivary fistulas. A histologic study in pigs preceded its clinical use in humans. Findings of both aspects of the study are discussed.