title: [Modified pedicled thoracoacromial artery perforator flap for the repair of complex pharyngocutaneous fistula: a retrospective review of 9 cases].
abstract: Objective:To report our experience in the application of modified pedicled thoracoacromial artery perforator (TAAP) flap for the repair of complex pharyngocutaneous fistula.Methods:Between December 2011 and September 2015, modified pedicled TAAP flaps were used to repair pharyngocutaneous fistulas in 9 patients. All patients were males, and ranged in age from 28 to 72 years old. Fistula size ranged from 4.5 cm×2.5 cm to 6.5 cm×4.5 cm, and the TAAP skin paddle size ranged from 7.0 cm×4.0 cm to 8.0 cm×5.0 cm. Neck defect size ranged from 4.0 cm×3.0 cm to 6.0 cm×4.0 cm, and the TAAP skin paddle size ranged from 5.5 cm×3.5 cm to 7.0 cm×5.0 cm.Results:All 9 flaps survived smoothly and all the donor sites were closed directly, with no flap vascular crisis and necrosis. The mean hospitalization of patients was 10.4 days. Postoperative barium swallow showed no hypopharyngeal stenosis or fistula recurrence. The follow-up time ranged from 8 to 32 months. The appearance of neck was good and all patients accepted oral diet. Only linear scar was left on the donor site, with no significant impairment of the function of pectoralis major muscle.Conclusion:Modified pedicled TAAP flap is suitable for the repair of complex pharyngocutaneous fistula.
authors.affiliation: Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital, Changsha 410008, China.
authors.forename: D J
authors.initials: DJ
authors.lastname: Song
authors.affiliation: Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200000, China.
authors.forename: Y X
authors.initials: YX
authors.lastname: Zhang
authors.affiliation: Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital, Changsha 410008, China.
authors.forename: Z
authors.initials: Z
authors.lastname: Li
authors.affiliation: Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital, Changsha 410008, China.
authors.forename: J J
authors.initials: JJ
authors.lastname: Yu
authors.affiliation: Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital, Changsha 410008, China.
authors.forename: X
authors.initials: X
authors.lastname: Zhou
authors.affiliation: Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital, Changsha 410008, China.
authors.forename: J
authors.initials: J
authors.lastname: Chen
authors.affiliation: Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital, Changsha 410008, China.
authors.forename: X W
authors.initials: XW
authors.lastname: Peng
authors.affiliation: Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital, Changsha 410008, China.
authors.forename: B
authors.initials: B
authors.lastname: Zhou
authors.affiliation: Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital, Changsha 410008, China.
authors.forename: C L
authors.initials: CL
authors.lastname: Lyu
authors.affiliation: Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital, Changsha 410008, China.
authors.forename: L C
authors.initials: LC
authors.lastname: Yang
authors.affiliation: Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital, Changsha 410008, China.
authors.forename: W
authors.initials: W
authors.lastname: Peng
authors.affiliation: Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital, Changsha 410008, China.
authors.forename: X
authors.initials: X
authors.lastname: Wang
mesh_terms: D001158:Arteries; D002921:Cicatrix / Q000209:etiology; D017577:Cutaneous Fistula / Q000601:surgery*; D005260:Female; D005402:Fistula / Q000601:surgery*; D006801:Humans; D008297:Male; D010369:Pectoralis Muscles / Q000502:physiology; D061525:Perforator Flap; D010608:Pharyngeal Diseases / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome