title: [Reconstruction of hypopharyngeal cavity with neck reverse rectangular thinned skin flap].
abstract: OBJECTIVE
  To study the postoperative convalescence of swallow after reconstruction of hypopharyngeal defect with the neck reverse rectangular thinned skin flap.
  
  
  METHODS
  A thinned reverse skin flap was designed in the middle line of a platysma skin flap, and was used in hypopharyngeal reconstruction for 20 patients with squamous cell carcinoma of the hypopharynx.
  
  
  RESULTS
  No skin flap complications occurred in all patients. Fistulas in 5 cases healed spontaneously in 7 days to 10 days without further surgery. One case with lower anastomotic site stenosis was performed by subsequent successful surgery. The survival rate was 50% and 33.3% respectively after 3 years and 5 years follow up.
  
  
  CONCLUSIONS
  This flap was effectively applied for reconstruction of hypopharyngeal defect for hypopharyngeal cancer, which was easy to master by surgeons, and was a high successful procedure of choice.
authors.affiliation: Department of Otolaryngology, First Clinical Hospital, China Medical University, Shenyang 110001.
authors.forename: A H
authors.initials: AH
authors.lastname: Yan
authors.forename: Z M
authors.initials: ZM
authors.lastname: Pan
authors.forename: S Z
authors.initials: SZ
authors.lastname: Fei
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery*; D007013:Hypopharynx / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009132:Muscles / Q000637:transplantation; D019651:Plastic Surgery Procedures; D016038:Skin Transplantation; D013524:Surgical Flaps