Pharyngeal Reconstruction with Microvascular Free Tissue Transfer

Author:

Sokoya Mofiyinfolu1,Bahrami Arash2,Vincent Aurora3,Inman Jared4,Mourad Moustafa5,Sawhney Raja6,Ducic Yadranko1

Affiliation:

1. Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas

2. Department of Otolaryngology Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania

3. Otolaryngology, Head and Neck Surgery, Madigan Army Medical Center, Tacoma, Washington

4. Department of Otolaryngology Head and Neck Surgery, Loma Linda University Medical Center, Loma Linda, California

5. Division of Otolaryngology-Head and Neck Surgery, Metropolitan Hospital, New York, New York

6. Department of Otolaryngology-Head/Neck Surgery, University of Florida College of Medicine, Gainesville, Florida

Abstract

AbstractReconstruction of pharyngoesophageal defects after total laryngectomies and extirpation of hypopharyngeal and upper esophageal carcinomas presents a challenging task. Goals of reconstruction include adequate voice rehabilitation and restoration of normal swallowing. The reconstructive armamentarium contains many options for reconstruction and creation of a new upper digestive tract. This review article focuses on the most commonly used free tissue transfer options for the reconstruction of these defects, with an assessment of their advantages and disadvantages.

Publisher

Georg Thieme Verlag KG

Subject

Surgery

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