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Anterolateral thigh butterfly free flap for reconstruction of laryngopharyngeal defect: surgical considerations

Published online by Cambridge University Press:  07 April 2022

K B Patel Open the ORCID record for K B Patel [Opens in a new window] ,
D Silverman ,
C Barron  and
E Ozer
K B Patel
Affiliation:
Department of Head and Neck – Endocrine Oncology, H Lee Moffitt Cancer Center, Tampa, Florida, USA
D Silverman
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, James Cancer Hospital and Solove Research Institute, Ohio State University Wexner Medical Center, Columbus, Ohio, USA
C Barron
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, James Cancer Hospital and Solove Research Institute, Ohio State University Wexner Medical Center, Columbus, Ohio, USA
E Ozer*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, James Cancer Hospital and Solove Research Institute, Ohio State University Wexner Medical Center, Columbus, Ohio, USA
*
Author for correspondence: Dr Enver Ozer, 320 W 10th Ave, B216 Starling Loving Hall, Columbus, OH 43210, USA E-mail: [email protected] Fax: +1 (614) 293 3191
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Abstract

Background

Reconstruction of a pharyngoesophageal defect remains a challenging problem, especially with involvement of the neck skin. This study aimed to demonstrate the surgical technique of utilising a butterfly modification of the anterolateral thigh flap.

Results

Reconstruction of the pharyngoesophageal defect was accomplished using the butterfly modification of the anterolateral thigh free flap. The flap was tubed on the leg while still being attached to the pedicle, to minimise the ischaemia time.

Conclusion

Butterfly anterolateral thigh free flap allows for multi-layer closure of the neopharynx and can be utilised for reconstruction of pharyngoesophageal and neck skin defects.

Keywords

LaryngectomyPharyngectomyReconstructive Surgical ProceduresFree FlapsLarynxPharynxNeoplasms, Laryngeal
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 9 , September 2022 , pp. 878 - 881
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr E Ozer takes responsibility for the integrity of the content of the paper

References

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