Semi-free forearm flap for pharyngeal-esophageal reconstruction after radiation therapy.
Fiche publication
Date publication
avril 2015
Journal
European annals of otorhinolaryngology, head and neck diseases
Auteurs
Membres identifiés du Cancéropôle Est :
Pr SCHULTZ Philippe
Tous les auteurs :
Pierrel C, Bodin F, Schultz P, Dupret-Bories A
Lien Pubmed
Résumé
Reconstruction of the pharynx and upper esophagus uses various procedures, including pedicled or free flap. Pharyngoplasty with free forearm flap provides excellent functional results. In radiation-related pharyngeal stenosis, recipient vascularization is often poor, especially in the venous system. The authors describe pharyngeal reconstruction with semi-free forearm flap, pedicled on the cephalic vein, to minimize the risk of venous thrombosis, which is the main factor of free forearm flap necrosis. Taking the case of a laryngectomy with complete pharyngeal stenosis after radiation therapy and iterative neck surgery, the technique of pharyngeal-esophageal reconstruction by semi-free forearm flap is described in a context of impaired vascularization.
Mots clés
Antebrachial flap, Pharyngeal reconstruction, Pharyngeal stenosis, Radiation therapy
Référence
Eur Ann Otorhinolaryngol Head Neck Dis. 2015 04;132(2):101-3