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Circumferential Pharyngoesophageal Reconstruction and Total Larynx Preservation with Extra-anatomical Free Flaps.
- Source :
-
Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2018 Nov 19; Vol. 6 (11), pp. e2008. Date of Electronic Publication: 2018 Nov 19 (Print Publication: 2018). - Publication Year :
- 2018
-
Abstract
- Reconstruction of total circumferential pharyngeal defects following caustic or stenosant lesions of the pharynx present major challenges with respect to minimizing surgical morbidity and restoring functional deficits. With recent advances in microvascular free tissue transfer, the options for pharyngeal reconstruction have multiplied in order to maximize swallowing and voice. There is long experience in the reconstruction of the pharynx and the cervical esophagus in oncological patients after total pharyngolaryngectomy, but there are not many publications concerning circumferential pharyngeal reconstruction preserving the larynx. Here, we discuss 2 new techniques for total circumferential pharyngeal reconstruction respecting swallowing and voice by means of extra-anatomical bypasses (visceral or fasciocutaneous), upholding the larynx in its original placement.
Details
- Language :
- English
- ISSN :
- 2169-7574
- Volume :
- 6
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- Plastic and reconstructive surgery. Global open
- Publication Type :
- Academic Journal
- Accession number :
- 30881802
- Full Text :
- https://doi.org/10.1097/GOX.0000000000002008