Near Total Pharyngolaryngectomy and Reconstruction with Interpositional Tubed Pectoralis Major Myocutaneous Flap
نویسندگان
چکیده
Near total laryngectomy can be safely combined with partial or subtotal pharyngectomies when the disease is lateralized rendering the interarytenoid joint and the contralateral cricoarytenoid joint free of tumor. A case of post radiotherapy recurrent carcinoma of the posterior pharyngeal wall which could be salvaged by a circumferential pharyngectomy combined with a near total laryngectomy is reported with a discussion about its potential advantages.
منابع مشابه
T-shaped Pectoralis Major Musculocutaneous Flap for Reconstruction of an Extensive Circumferential Pharyngeal Defect
SUMMARY In the era of free-flap transfer, the pectoralis major musculocutaneous flap still plays a unique role in head and neck reconstruction. We report on a patient with a recurrent hypopharyngeal carcinoma after total pharyngolaryngectomy and adjuvant chemoradiotherapy in whom defects included a circumferential defect of the oropharynx and the entire tongue. The defects were successfully rec...
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A pectoralis major myofascial flap (PMMF) is a simple variant of the pectoralis major myocutaneous flap (PMMC), and allows avoiding some of the disadvantages of Ariyan's technique while reducing well-known, overall complications. This is a retrospective analysis of 45 hypopharyngeal reconstructions (40 immediate reconstructions after subtotal pharyngolaryngectomy and 5 performed during revision...
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BACKGROUND Pectoralis major and other myofascial/myocutaneous flaps have been recognized as important reconstructive methods in head and neck cancer surgery. Even with the worldwide use of free flaps, they are still the mainstay reconstructive procedures in many centers. METHODS We retrospectively analyzed the records of patients with head and neck cancer who underwent an immediate reconstruc...
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OBJECTIVE To examine our outcomes with skin paddle survival using pectoralis myocutaneous flaps in reconstruction of the head and neck. The pectoralis major myocutaneous flap has been associated with a notable incidence of distal skin necrosis and flap loss. Our experience has been favorable compared with that reported in the literature. METHODS Retrospective medical record review of 81 cases...
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