The procedure for salvage total laryngectomy (STL) is burdened by a high rate of postoperative complications as a result of delayed wound healing in previously irradiated tissue. Several observational studies have investigated the role of prophylactic vascularized flaps to aid pharyngeal closure after STL and prevent the development of PCF. The use of a temporoparietal fascia free flap (TFFF) as an overlay flap for STL has been described previously in two published studies and both sets of authors agreed that the most obvious benefit of the TFFF in STL is a reduced PCF rate with low site morbidity and good functional outcomes. The aim of this video is to illustrate the use of the temporoparietal fascia flap to provide an adjunctive reinforcement layer in the reconstruction of the pharynx.
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- The authors introduced a technique using a temporoparietal fascial flap with vascularized skull bone and temporalis muscle, demonstrating its effectiveness in an 81-year-old patient with several health concerns.* -
- Intraoperative imaging showed good blood flow to the reconstructed area; despite some post-surgery infection, the graft successfully maintained the orbital structure, showcasing the technique's minimally invasive nature and its benefits for high-risk patients.*
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