Deltopectral flap for one-stage reconstruction of pharyngocutaneous fistulae following total laryngectomy.
Postoperative pharyngocutaneous fistulae are troublesome complications after total laryngectomy. To manage this complication, we devised an operative method consisting of a one-stage repair using a deltopectal flap. With this technique we can immediately cover both skin and pharyngeal defects. We have applied this method to 5 patients all of whom have successfully recovered their swallowing function.
Kimura
Y
Y
Department of Otolaryngology, Yamagata University School of Medicine, Japan.
Tojima
H
H
Nakamura
T
T
Harada
K
K
Koike
Y
Y
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy / Q000601:surgery; D003131:Combined Modality Therapy; D017577:Cutaneous Fistula / Q000601:surgery*; D003679:Deglutition / Q000502:physiology; D004435:Eating / Q000502:physiology; D005402:Fistula / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000532:radiotherapy / Q000601:surgery; D007825:Laryngectomy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009132:Muscles / Q000637:transplantation*; D010369:Pectoralis Muscles / Q000637:transplantation*; D010608:Pharyngeal Diseases / Q000601:surgery*; D012467:Salivary Gland Fistula / Q000601:surgery; D013524:Surgical Flaps / Q000379:methods*