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1 results

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

  • K B Patel, D Silverman, C Barron, E Ozer
  • Journal:
    The Journal of Laryngology & Otology / Volume 136 / Issue 9 / September 2022
    Published online by Cambridge University Press:
    07 April 2022, pp. 878-881
    Print publication:
    September 2022
  • 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.