AI Article Synopsis
- Pharyngocutaneous fistula is a complication that can occur after surgery on the throat and voice box, which is a common challenge for surgeons.
- Two cases are discussed where patients developed this type of fistula after undergoing total laryngectomy and radiation treatment, and it was successfully reconstructed using a special flap technique.
- The new flap design improves healing by providing a larger contact area with surrounding tissue, separating the inner and outer suture lines, and reinforcing the outer layer with a skin graft, making it effective for repairing these complex fistulas following radiation.
Article Abstract
Pharyngocutaneous fistula is a dreaded complication after ablative surgery of the aerodigestive tract including the pharynx and larynx. This is a common problem for the surgeon. Two cases are presented with pharyngocutaneous fistula developing after total laryngectomy and radiation therapy. The fistula was reconstructed using a cork-design radial forearm free flap. Total obliteration of the fistula was obtained without complications. This new design provides the following advantages: extensive contact area between the flap and the inflamed surrounding tissue, discontinuity between the suture lines of the inner lining and the outer cover, and reinforcement of the suture line of the outer covering with skin graft. This method can be useful in reconstructing irradiated pharyngocutaneous fistulas.
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| http://dx.doi.org/10.1055/s-2006-951311 | DOI Listing |
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Treatment of pharyngocutaneous fistulae with a cork-design radial forearm free flap.
J Reconstr Microsurg
October 2006
Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea.
Article Synopsis
- Pharyngocutaneous fistula is a complication that can occur after surgery on the throat and voice box, which is a common challenge for surgeons.
- Two cases are discussed where patients developed this type of fistula after undergoing total laryngectomy and radiation treatment, and it was successfully reconstructed using a special flap technique.
- The new flap design improves healing by providing a larger contact area with surrounding tissue, separating the inner and outer suture lines, and reinforcing the outer layer with a skin graft, making it effective for repairing these complex fistulas following radiation.
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