Reconstructive options after total laryngectomy with subtotal or circumferential hypopharyngectomy and cervical esophagectomy

Current Opinion in Otolaryngology & Head and Neck Surgery
Cesare PiazzaPiero Nicolai

Abstract

The present review is focused on the main reconstructive options currently used after partial or circumferential resection of the hypopharynx and cervical esophagus. The advantages and disadvantages of pectoralis major myocutaneous (PMMC) pedicled flap, fasciocutaneous free flaps as radial forearm and anterolateral thigh (ALT), and visceral free grafts like jejunum and gastro-omental are overviewed. For partial hypopharyngeal defects with limited extension to the cervical esophagus, no specific pedicled or free flap is deemed superior over others: the patient's body habitus and surgeon's preference remain the most important factors affecting the reconstructive choice. In contrast, after circumferential hypopharyngectomy, pharyngocutaneous fistula (PCF) and stricture rates of PMMC are higher than those obtained by free flaps. In the most recent series applying ALT and jejunum, PCF and stricture occurrence is comparable, whereas reduced mortality, overall complication rate, and donor-site morbidity of ALT and its better swallowing and speech outcomes have contributed to make this option progressively more popular. On the other hand, gastro-omental seems to offer an unparalleled amount of highly vascularized tissue to manage the d...Continue Reading

References

Oct 1, 1979·American Journal of Surgery·E H WithersJ B Lynch
Mar 1, 1978·The Annals of Otology, Rhinology, and Laryngology·W W Montgomery
May 1, 1989·British Journal of Plastic Surgery·I KoshimaS Soeda
Mar 1, 1989·Archives of Otolaryngology--head & Neck Surgery·C JuarbeI Klatsky
Apr 1, 1987·Archives of Otolaryngology--head & Neck Surgery·K H LamW F Lau
Apr 1, 1987·Archives of Otolaryngology--head & Neck Surgery·W J Moran, W R Panje
Apr 1, 1985·Plastic and Reconstructive Surgery·K HariiT Takato
Mar 1, 1986·The Annals of Otology, Rhinology, and Laryngology·W W Montgomery
Oct 1, 1984·The Laryngoscope·R L Fabian
Apr 1, 1984·British Journal of Plastic Surgery·Y G SongY L Song
Jun 1, 1995·British Journal of Plastic Surgery·C Y Su, Y C Chiang
Dec 1, 1994·The Annals of Otology, Rhinology, and Laryngology·D G DeschlerM I Singer
Jul 1, 1994·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·K E KellyM Singer
Apr 1, 1997·Plastic and Reconstructive Surgery·S S KrollM A Schusterman
Dec 11, 1997·Plastic and Reconstructive Surgery·A ShektmanB Strauch
Jun 17, 1998·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·D G DeschlerM I Singer
Oct 17, 1998·Plastic and Reconstructive Surgery·Y KimataK Harii
Dec 16, 1998·Journal of Reconstructive Microsurgery·B C ChoB S Baik
Oct 20, 1999·The Annals of Otology, Rhinology, and Laryngology·X LeónJ Burgués
Apr 18, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·G C OniscuR Sanderson
May 19, 2001·The Laryngoscope·B AzizzadehK E Blackwell
May 11, 2002·BMC Cancer·Marco BenazzoMario Alessiani
Jun 5, 2002·Plastic and Reconstructive Surgery·Fu-chan WeiChih-hung Lin
Sep 26, 2002·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Gerry F FunkRussell B Smith
Dec 17, 2002·Archives of Otolaryngology--head & Neck Surgery·J Trad WadsworthThomas R Eubanks
Mar 27, 2003·Head & Neck·Joseph Scharpf, Ramon M Esclamado
Feb 18, 2004·Archives of Otolaryngology--head & Neck Surgery·Douglas B ChepehaRamon M Esclamado
May 28, 2004·Otolaryngologic Clinics of North America·Daniel G Deschler, Stacey T Gray
Jun 4, 2004·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Kamal MorshedWiesław Gołabek
Sep 21, 2004·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Christian A RighiniEmile Reyt
May 4, 2005·The Laryngoscope·Ronaldo BovaWilliam B Coman
Jul 5, 2005·The Laryngoscope·Jan S LewinPeirong Yu
Sep 21, 2005·Archives of Otolaryngology--head & Neck Surgery·Eric M Genden, Adam S Jacobson

❮ Previous
Next ❯

Citations

Oct 9, 2013·Annals of Surgical Oncology·Ying-Sheng LinKuo-Chung Yang
Dec 10, 2013·Acta otorrinolaringológica española·José Luis LlorenteCarlos Suárez
Jul 16, 2014·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Hui Yuan, Guo-Kang Fan
Nov 17, 2015·Journal of Plastic Surgery and Hand Surgery·Cassandra A LighSuhail K Kanchwala
Jun 16, 2015·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Kamal Kishor LakheraK Siddappa
May 17, 2015·Surgical Oncology Clinics of North America·Sameer A Patel, Eric I Chang
Feb 25, 2015·Atlas of the Oral and Maxillofacial Surgery Clinics of North America·Tuan G Bui, Eric J Dierks
Aug 28, 2016·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Talisa D van BrederodeMartin W Stenekes
Mar 18, 2015·Scientific Reports·Huang-Kai KaoVictor Bong-Hang Shyu
Jun 3, 2017·The Laryngoscope·Cesare PiazzaPiero Nicolai
Dec 28, 2016·Plastic and Reconstructive Surgery·Basel SharafJesse C Selber
Dec 1, 2015·Archives of Craniofacial Surgery·Sae Hwi KiSeung Hyun Sim
Nov 10, 2018·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·Stefan J JanikBoban M Erovic
Jul 11, 2013·Current Opinion in Otolaryngology & Head and Neck Surgery·Hans-J WelkoborskyMichael L Hinni
Sep 30, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Claudia I CabreraMark S Weidenbecher
May 16, 2017·The Journal of Laryngology and Otology·A HuiM Bezuhly
Jun 27, 2019·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Janis ZarinsHarri Keski-Säntti
Jun 26, 2020·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Cesare PiazzaPiero Nicolai
Jul 28, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Shu-Chun YangHung-Chi Chen
Oct 13, 2020·Ear, Nose, & Throat Journal·Antonio MinniMarco de Vincentiis
May 2, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Gabriel BouhadanaMirko S Gilardino
Dec 29, 2020·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Ying-Sheng LinKuo-Chung Yang
Nov 25, 2021·Ear, Nose, & Throat Journal·Junwei HuangXiaohong Chen

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.