TY - JOUR
T1 - Latissimus Dorsi and DIEP Flaps for Pharyngeal Reconstruction
T2 - A Novel Indication
AU - Thione, Alessandro
AU - Sánchez-García, Alberto
AU - Heredia-Alcalde, Iván
AU - Balaguer-Cambra, Jorge
AU - Pérez-García, Alberto
AU - Chang, Edward I.
N1 - Publisher Copyright:
© 2023, Association of Otolaryngologists of India.
PY - 2023/9
Y1 - 2023/9
N2 - Aims: Complex pharyngeal defects after tumor resection remain a challenging dilemma for reconstructive plastic surgeons. They often benefit from pedicled or free flaps reconstruction to maintain continuity of the aerodigestive tract and protect the great vessels. While pedicle pectoralis major myocutaneous flaps or supraclavicular flaps have been described, microvascular free flaps have largely replaced the use of pedicle flaps. Materials and methods: We describe our experience with subtotal and total pharyngeal reconstruction utilizing tubed DIEP (n = 2) and latissimus dorsi free flaps (n = 2). All four patients were smokers and received prior radiation. Results: All patients were able to resume a regular diet and did not suffer any recipient or donor site complications. There were no fistula or total flap losses. Conclusion: In our experience, DIEP and latissimus dorsi free flaps can serve as a valid alternative to radial forearm, jejunal and anterolateral thigh flaps for pharyngeal reconstruction.
AB - Aims: Complex pharyngeal defects after tumor resection remain a challenging dilemma for reconstructive plastic surgeons. They often benefit from pedicled or free flaps reconstruction to maintain continuity of the aerodigestive tract and protect the great vessels. While pedicle pectoralis major myocutaneous flaps or supraclavicular flaps have been described, microvascular free flaps have largely replaced the use of pedicle flaps. Materials and methods: We describe our experience with subtotal and total pharyngeal reconstruction utilizing tubed DIEP (n = 2) and latissimus dorsi free flaps (n = 2). All four patients were smokers and received prior radiation. Results: All patients were able to resume a regular diet and did not suffer any recipient or donor site complications. There were no fistula or total flap losses. Conclusion: In our experience, DIEP and latissimus dorsi free flaps can serve as a valid alternative to radial forearm, jejunal and anterolateral thigh flaps for pharyngeal reconstruction.
KW - DIEP flap
KW - Free flap
KW - Latissimus dorsi flap
KW - Neck surgery
KW - Pharyngeal reconstruction
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U2 - 10.1007/s12070-022-03449-8
DO - 10.1007/s12070-022-03449-8
M3 - Article
C2 - 37636787
AN - SCOPUS:85153497069
SN - 2231-3796
VL - 75
SP - 2063
EP - 2066
JO - Indian Journal of Otolaryngology and Head and Neck Surgery
JF - Indian Journal of Otolaryngology and Head and Neck Surgery
IS - 3
ER -