Re-use of pectoralis major myocutaneous flap for the treatment of recurrent hypopharyngeal stenosis following total laryngectomy and postoperative radiotherapy: a case report.
Management of recurrent hypopharyngeal stenosis following total laryngectomy and postoperative radiotherapy is a challenging problem. Because of previous surgery, free flaps may not always be performed. We report a case of recurrent hypopharyngeal stenosis after a first attempt of reconstruction with a pectoralis major myocutaneous pedicled flap (PMMPF) failed. The problem was solved by reusing the previous PMMPF as a rotary door flap according to Eliachar and suturing it to the prevertrebral fascia according to Spriano. The follow-up is now of 9 months without recurrence. This new technique is described and discussed in comparison with other possible options.
Van Haverbeke
Christophe
C
Department of Otorhinolaryngology and Head and Neck Surgery, University UCL Hospital of Mont-Godinne, Avenue Therasse 1, 5530, Yvoir, Belgium.
Lawson
Georges
G
Remacle
Marc
M
D002294:Carcinoma, Squamous Cell / Q000601:surgery; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D007013:Hypopharynx / Q000473:pathology* / Q000601:surgery*; D007822:Laryngeal Neoplasms / Q000601:surgery; D007825:Laryngectomy / Q000009:adverse effects*; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D018714:Radiotherapy, Adjuvant / Q000009:adverse effects; D019651:Plastic Surgery Procedures; D012008:Recurrence; D016038:Skin Transplantation; D013524:Surgical Flaps; D016896:Treatment Outcome