title: Modification of the deltopectoral flap for pharyngoesophageal reconstruction.
abstract: These modifications minimize flap loss, fistulae, and stenosis, and make the final stage easier to perform. The need for periodic dilation with Maloney dilators may be required; however, we do not consider this a significant complication. The goal is a predictable result with a low complication rate so that oral feedings can begin 5 weeks after laryngopharyngectomy, and postoperative radiotherapy may be started at 6 weeks. The need for three stages may appear excessive; however, three planned stages are better than three or more unplanned stages that result in flap loss or dehiscence.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, U.S. Naval Hospital, San Diego, CA 92134-5000.
authors.forename: R A
authors.initials: RA
authors.lastname: Chaffoo
authors.forename: R L
authors.initials: RL
authors.lastname: Goode
mesh_terms: D004947:Esophagus / Q000601:surgery*; D006258:Head and Neck Neoplasms / Q000601:surgery; D006801:Humans; D007013:Hypopharynx / Q000601:surgery*; D013524:Surgical Flaps