title: Modification of the Radial Forearm Fasciocutaneous Flap in Partial Pharyngolaryngeal Reconstruction to Minimize Fistula Formation.
abstract: Reconstruction of pharyngolaryngoesophageal defects following salvage surgery in patients with a history of chemoradiation is a challenging problem with a high incidence of pharyngocutaneous fistula. The authors describe three cases of successful reconstruction of partial pharyngolaryngoesophageal defects using a modified radial forearm free flap with additional dermal reinforcement and review the literature for innovations in the use of radial forearm free flap for reconstruction of these difficult cases. Modification of the radial forearm free flap makes it a versatile, reliable flap that has become the "go-to" flap for partial pharyngolaryngoesophageal reconstruction.
authors: Chicago, Ill.|From the Sections of Plastic and Reconstructive Surgery and Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Chicago.
authors: Adrian S H
authors: ASH
authors: Ooi
authors: Chicago, Ill.|From the Sections of Plastic and Reconstructive Surgery and Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Chicago.
authors: Daniel R
authors: DR
authors: Butz
authors: Chicago, Ill.|From the Sections of Plastic and Reconstructive Surgery and Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Chicago.
authors: Zhen
authors: Z
authors: Gooi
authors: Chicago, Ill.|From the Sections of Plastic and Reconstructive Surgery and Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Chicago.
authors: David W
authors: DW
authors: Chang
mesh_terms: D017577:Cutaneous Fistula / Q000209:etiology / Q000517:prevention & control*; D005542:Forearm; D006801:Humans; D007830:Larynx / Q000601:surgery*; D010608:Pharyngeal Diseases / Q000209:etiology / Q000517:prevention & control; D010614:Pharynx / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016156:Respiratory Tract Fistula / Q000209:etiology / Q000517:prevention & control*; D013524:Surgical Flaps / Q000637:transplantation*