title: [Autoplastic closure of a persistent postoperative laryngeal fistula in a patient who had undergone previous irradiation (author's transl)].
abstract: The authors present a case of closure of a postoperative laryngeal fistula in an irradiated area, obtained after the failure of several local plastic procedures. They used a distant pediculated flap, taken from non-irradiated tissue and from an unusual site: an acromio-occipital flap, using the acromial part with secondary repositioning of the nutrient pedicle. They emphasise the excellent vitality of this flap, its healing effect in the area of radio-dermatitis despite poor general condition, and the necessity for bypass of the upper airway during the time of healing.
mesh_terms: D005402:Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007818:Laryngeal Diseases / Q000209:etiology / Q000601:surgery*; D007822:Laryngeal Neoplasms / Q000532:radiotherapy*; D008297:Male; D008722:Methods; D008875:Middle Aged; D016038:Skin Transplantation; D014182:Transplantation, Autologous
vernacular_title: Fermeture autoplastique d'une fistule laryngée antérieure post-opératoire rebelle sur terrain irradié.