Use of a folded extended vertical lower trapezius island myocutaneous flap to repair large pharyngocutaneous fistulae after salvage total laryngectomy in 8 consecutive cases

doi:10.19438/j.cjoms.2019.02.014

Abstract

Abstract: PURPOSE: To explore the feasibility of using folded extended vertical lower trapezius island myocutaneous flap(TIMF) for reconstructing large pharyngocutaneous fistulae developing after salvage total laryngectomy. METHODS: Eight （7 males and 1 females, 46 to 65 years of age, with a mean age of 57.6 years) large pharyngocutaneous fistulae, 2.0 cm×1.8 cm-4.5 cm×3.0 cm in size, were reconstructed following salvage total laryngectomy using folded extended vertical lower TIMF. The skin paddle of the extended vertical TIMF flap was 5-9 cm wide and 10-23 cm long. The folded flap provided both inner and outer linings for pharyngocutaneous fistulae. RESULTS: All flaps survived well. No fistula recurrence or stricture developed. Swallowing function was satisfactory. CONCLUSIONS: Folded extended vertical lower TIMF is a large, simple, and reliable flap preferred for reconstructing large pharyngocutaneous fistulae developing after salvage total laryngectomy.

Key words: Total laryngectomy, Pharyngocutaneous fistulae, Trapezius flap, Pedicle flap

CLC Number:

R782.05

ZHOU Bin, ZHUANG Xiu-mei, CHEN Wei-liang, ZHONG Jiang-long, CHEN Rui, WANG Xun-ming. Use of a folded extended vertical lower trapezius island myocutaneous flap to repair large pharyngocutaneous fistulae after salvage total laryngectomy in 8 consecutive cases[J]. China Journal of Oral and Maxillofacial Surgery, 2019, 17(2): 166-170.

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