The extended submental island lip flap: an alternative for esophageal repair.
An esophagocutaneous fistula after total laryngectomy in a radiated field is rare. A 62-year-old man, with a history of T2N0 M0 laryngeal carcinoma, was treated with radiation therapy. He subsequently developed recurrent disease and underwent total laryngectomy. A complication of his total laryngectomy was a high esophagocutaneous fistula. The patient had no evidence of other disease. A functional repair was achieved by extending the submandibular arterial flap to incorporate the central third of the lower lip as a mucosomyocutaneous flap. This extension of the submandibular artery flap may preclude the need for jejunal free tissue transfer in some patients with esophagocutaneous fistula.
Janssen
D A
DA
Fox Valley Plastic Surgery, Oshkosh, Wis 54904, USA.
Thimsen
D A
DA
D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D003131:Combined Modality Therapy; D017577:Cutaneous Fistula / Q000601:surgery*; D004937:Esophageal Fistula / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000601:surgery*; D018714:Radiotherapy, Adjuvant; D012086:Reoperation; D013524:Surgical Flaps; D013536:Suture Techniques