title: Outcomes following pharyngolaryngectomy with fasciocutaneous free flap reconstruction and salivary bypass tube.
abstract: OBJECTIVE
  Reconstruction of the pharyngoesophageal defects is one of the most challenging for head and neck surgeons. We evaluated our experience in the hypopharyngeal reconstruction using a fasciocutaneous free flap in conjunction with a Montgomery salivary bypass tube (MSBT).
  
  
  METHODS
  Retrospective review.
  
  
  METHODS
  The charts of 55 patients who had undergone hypopharynx reconstruction using either a radial forearm free flap (RFFF) (24) or an anterolateral thigh (ALT) flap (31) with MSBT were reviewed. There were 40 circumferential and 15 near-circumferential defects. Outcomes analyzed included fistula and stricture rates and swallowing function.
  
  
  RESULTS
  Pharyngocutaneous fistula occurred in 9% of patients (16% using RFFF and 3% using ALT), and strictures occurred in 5% (8% using RFFF and 3% using ALT). Of patients reconstructed with this technique, 95% were able to resume oral alimentation.
  
  
  CONCLUSIONS
  The use of fasciocutaneous free flaps in conjunction with the MSBT is a useful tool for pharyngoesophageal reconstruction.
authors.affiliation: Department of Otorhinolaryngology and Head and Neck Surgery, Instituto Universitario de Oncología del Principado de Asturias, Oviedo, Asturias, Spain. flopez_1981@yahoo.es
authors.forename: Fernando
authors.initials: F
authors.lastname: López
authors.forename: Sergio
authors.initials: S
authors.lastname: Obeso
authors.forename: Daniel
authors.initials: D
authors.lastname: Camporro
authors.forename: Angel
authors.initials: A
authors.lastname: Fueyo
authors.forename: Carlos
authors.initials: C
authors.lastname: Suárez
authors.forename: José L
authors.initials: JL
authors.lastname: Llorente
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D003251:Constriction, Pathologic; D017577:Cutaneous Fistula / Q000601:surgery*; D003679:Deglutition; D005260:Female; D058752:Free Tissue Flaps; D006258:Head and Neck Neoplasms / Q000601:surgery; D006801:Humans; D007013:Hypopharynx / Q000601:surgery; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D010611:Pharyngectomy; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D000077195:Squamous Cell Carcinoma of Head and Neck; D015607:Stents; D016896:Treatment Outcome