Tracheoesophageal puncture site closure with sternocleidomastoid musculocutaneous transposition flap

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Primary tracheoesophageal puncture with supraclavicular artery island flap after total laryngectomy or laryngopharyngectomy.

The supraclavicular artery island flap (SCAIF) is increasingly employed for laryngectomy reconstruction with excellent success. Although tracheoesophageal puncture (TEP) with intraoperative prosthesis placement is also positively reported, this is not described in patients following SCAIF. We review our experience with primary TEP with prosthesis placement and voice outcomes in patients after S...

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Primary versus delayed tracheoesophageal puncture for laryngopharyngectomy with free flap reconstruction.

OBJECTIVES To determine whether postoperative complication rates and speech outcomes differ between patients undergoing primary versus secondary tracheoesophageal puncture following total laryngectomy with free flap reconstruction. STUDY DESIGN Retrospective clinical study in a tertiary academic center. METHODS Between November 2004 and June 2010, 137 patients underwent total laryngectomy o...

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Sternocleidomastoid Muscle Flap after Parotidectomy

Introduction Most patients after either superficial or total parotidectomy develop facial deformity and Frey syndrome, which leads to a significant degree of patient dissatisfaction. Objective Assess the functional outcome and esthetic results of the superiorly based sternocleidomastoid muscle (SCM) flap after superficial or total parotidectomy. Methods A prospective cohort study for 11 patient...

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Total Closure of Enlarged Tracheoesophageal Puncture with Septal Button: Long-Term Results.

Tracheoesophageal puncture enlargement in laryngectomized patients is a significant problem due to complications such as aspiration pneumonia. There are several management methods including conservative and nonconservative techniques. A total closure of the enlarged tracheoesophageal puncture is needed in some cases when conservative approaches have failed. At this point, the insertion of a sil...

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BACKGROUND The growth of aging populations in an increasing number of countries has led to a concomitant increase in the incidence of chronic diseases. Accordingly, the proportion of older aged patients with oral cavity and oropharyngeal cancers and comorbidities has also increased. Thus, improvements must be made in the tolerance and safety of surgical procedures for these patients with comple...

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ژورنال

عنوان ژورنال: Indian Journal of Plastic Surgery

سال: 2015

ISSN: 0970-0358,1998-376X

DOI: 10.4103/0970-0358.173125