title: Delayed platysma myocutaneous turnover flap for repair of pharyngocutaneous fistula.
abstract: BACKGROUND
  Pharyngocutaneous fistula (PCF) is a common and serious complication after total laryngectomy. Numerous surgical and non-surgical treatment approaches have been described. Here we describe a platysma myocutaneous turnover flap for repair of PCF.
  
  
  METHODS
  Platysma myocutaneous turnover flap is described and two patients are used as examples.
  
  
  RESULTS
  Repair was initially successful in both patients; however, one patient had recurrence of fistula after her cancer recurred at the stoma.
  
  
  CONCLUSIONS
  Numerous surgical techniques have been described for repair of PCF. Here a turnover flap was used, a technique not previously described for this problem. The delay technique enhances the viability of the flap thought to be through numerous mechanisms.
  
  
  CONCLUSIONS
  The platysma myocutaneous turnover flap is useful for closure of pharyngocutaneous fistula when non-operative measures have failed.
authors.affiliation: Section of Otolaryngology, Department of Surgery, Yale University School of Medicine, New Haven, CT, USA. Electronic address: paul.neubauer@yale.edu.
authors.forename: Paul
authors.initials: P
authors.lastname: Neubauer
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Baylor College of Medicine, Houston, TX, USA.
authors.forename: Karina
authors.initials: K
authors.lastname: Cañadas
authors.affiliation: Section of Otolaryngology, Department of Surgery, Yale University School of Medicine, New Haven, CT, USA.
authors.forename: Clarence T
authors.initials: CT
authors.lastname: Sasaki
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D017577:Cutaneous Fistula / Q000601:surgery*; D005260:Female; D005402:Fistula / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery; D007825:Laryngectomy; D008297:Male; D018482:Muscle, Skeletal / Q000637:transplantation*; D010608:Pharyngeal Diseases / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D013524:Surgical Flaps