[Contribution of muscular and musculocutaneous flaps in the early postoperative period in total salvage laryngectomies and pharyngo-laryngectomies. Apropos of 35 cases].
From 1981 to 1985, 35 patients (34 male, 1 female), mean age, 56 years, underwent salvage total laryngectomy and pharyngo laryngectomy after full course radiotherapy. 13 cases have been closed primarily. 22 cases underwent reconstructive surgery using 15 musculo cutaneous and 7 muscular flaps. Complications occurred in 46% of the patients closed primarily and required further reconstruction by musculocutaneous flap. 90.7% of the cases where a flap was used initially had no post operative complications. This study confirms that the use of muscular and musculocutaneous flaps improve healing in salvage surgery.
Service ORL, Groupe Hospitalier Bichat-Claude Bernard, Paris.
R
R
Vericel
P
P
Gehanno
C
C
Kebaili
C
C
Guedon
N
N
Moisy
D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D007825:Laryngectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010610:Pharyngeal Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D010611:Pharyngectomy / Q000379:methods*; D011184:Postoperative Period; D011859:Radiography; D013524:Surgical Flaps
L'apport des lambeaux musculaires et musculo-cutanés dans les suites immédiates des laryngectomies et pharyngo-laryngectomies totales de rattrapage. A propos de 35 cas.