External monitoring of buried radial forearm free flaps in hypopharyngeal reconstruction

Ming Song, Shu Wei Chen, Quan Zhang, An-kui Yang, Shi Min Zhuang, Li Ping Wang, Wen Kuan Chen, Zhu Ming Guo

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Conclusion: The radial forearm free flap (RFFF) is one of the optimal choices for hypopharyngeal reconstruction. Our series demonstrates that the technique of an indicator flap for the monitoring of the buried flap is simple, reliable, and inexpensive. The condition of the indicator flap can be easily interpreted by the physicians and the nursing staff. Therefore, the success rate of this microsurgical reconstruction may be improved. Objectives: The RFFF is increasingly applied in reconstruction of the hypopharynx after radical resection for advanced hypopharyngeal cancer. However, postoperative monitoring of the buried free flap is extremely difficult. We designed a small external component as an indicator flap to monitor the perfusion of the buried vascular pedicle. Methods: Eight consecutive patients with hypopharyngeal cancer underwent radical surgery and hypopharyngeal reconstruction using RFFF at the Sun Yat-sen University Cancer Center between January 2005 and January 2007. The indicator flap was sutured to the surface of the neck for postoperative monitoring. Results: All of the indicator flaps remained viable. One patient experienced vascular compromise and was successfully salvaged. The success rate of the buried flaps was 100%. Pharyngocutaneous fistula occurred in one patient. All patients resumed an oral diet eventually.

Original languageEnglish (US)
Pages (from-to)204-209
Number of pages6
JournalActa Oto-Laryngologica
Volume131
Issue number2
DOIs
StatePublished - Feb 1 2011

Fingerprint

Free Tissue Flaps
Forearm
Hypopharyngeal Neoplasms
Blood Vessels
Hypopharynx
Nursing Staff
Solar System
Fistula
Neck
Perfusion
Diet
Physicians
Neoplasms

Keywords

  • Hypopharyngeal defects
  • microsurgical reconstruction
  • vascular compromise

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

External monitoring of buried radial forearm free flaps in hypopharyngeal reconstruction. / Song, Ming; Chen, Shu Wei; Zhang, Quan; Yang, An-kui; Zhuang, Shi Min; Wang, Li Ping; Chen, Wen Kuan; Guo, Zhu Ming.

In: Acta Oto-Laryngologica, Vol. 131, No. 2, 01.02.2011, p. 204-209.

Research output: Contribution to journalArticle

Song, Ming ; Chen, Shu Wei ; Zhang, Quan ; Yang, An-kui ; Zhuang, Shi Min ; Wang, Li Ping ; Chen, Wen Kuan ; Guo, Zhu Ming. / External monitoring of buried radial forearm free flaps in hypopharyngeal reconstruction. In: Acta Oto-Laryngologica. 2011 ; Vol. 131, No. 2. pp. 204-209.
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