Infrahyoid muscle flap as augmentation of pharyngeal repair after total laryngectomy.
Clin Otolaryngol
; 49(4): 512-517, 2024 Jul.
Article
en En
| MEDLINE
| ID: mdl-38606721
ABSTRACT
INTRODUCTION:
To assess the usage of contralateral infrahyoid muscles as onlay flap in prevention of pharyngo-cutaneous fistula (PCF) in total laryngectomy (TL) patients with high risk factors of PCF development.METHODS:
This study included 10 patients who suffered from advanced laryngeal carcinoma with presence of risk factors for development of PCF. We added an enforcement muscular layer during neo-pharynx wall repair, the infrahyoid muscle flap of the contralateral side of the tumour origin as an onlay muscular flap to cover the anastomotic site for healing augmentation. Patients were followed up for PCF development where the PCF incidence was calculated.RESULTS:
One patient died from congestive heart failure in the 21th post-operative day so, the actual PCF rate in TL patients with high risk factors of PCF development in our study was 11.11% (1 out of 9 cases).CONCLUSIONS:
Infrahyoid muscle flap may have a role in preventing PCF after TL in patients with high risk factors of PCF development in this case series study to be further assessed in other studies to justify its role.Palabras clave
Texto completo:
1
Colección:
01-internacional
Asunto principal:
Colgajos Quirúrgicos
/
Enfermedades Faríngeas
/
Neoplasias Laríngeas
/
Laringectomía
Límite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Clin Otolaryngol
/
Clin. otolaryngol
/
Clinical otolaryngology
Asunto de la revista:
OTORRINOLARINGOLOGIA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Egipto