The Wookey flap revisited

Head & Neck
Krishnamurthi Sundaram, Gady Har-El

Abstract

Complete circumferential pharyngoesophageal reconstruction has undergone remarkable changes and developments during the last three decades. Gastric transposition and microvascular techniques are the standards of care. However, in cases of failure, or where other factors such as severe comorbidities prevent the use of microvascular techniques, reconstruction with local flaps provide a reliable option. We have used the Wookey flap technique in six patients with complete circumferential loss of the pharynx and upper esophagus. To make the procedure more reliable, we added a "delay" stage. Retrospective review of charts of six Wookey-type reconstructions of the pharynx and upper esophagus done in our department at SUNY-HSC, Brooklyn, and The Long Island College Hospital. Five of the six patients had successful reconstruction of complete circumferential pharyngoesophageal resection. All five resumed oral alimentation. The flap failed in one patient. The Wookey flap may still provide surgeons with a "last resort" reconstructive option after complete, circumferential pharyngoesophageal resection.

References

May 1, 1980·Head & Neck Surgery·L W DeSanto, R J Carpenter
Aug 1, 1965·Plastic and Reconstructive Surgery·V Y BAKAMJIAN
Jan 1, 1948·The British Journal of Surgery·H WOOKEY

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Citations

Jul 13, 2006·Current Opinion in Otolaryngology & Head and Neck Surgery·Richard G Lee, Jonathan Z Baskin
Jul 28, 2016·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·Oleksandr ButskiyEitan Prisman

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