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Treatment of Pharyngocutaneous Fistulae with a Cork-Design Radial Forearm Free Flap

Authors
 Won Min Yoo  ;  Nam Suk Pae  ;  Joon Pio Hong  ;  Hye Kyung Lee 
Citation
 JOURNAL OF RECONSTRUCTIVE MICROSURGERY, Vol.22(7) : 483-487, 2006 
Journal Title
JOURNAL OF RECONSTRUCTIVE MICROSURGERY
ISSN
 0743-684X 
Issue Date
2006
MeSH
Adult ; Cutaneous Fistula/surgery* ; Debridement ; Humans ; Laryngeal Neoplasms/surgery ; Laryngectomy/adverse effects* ; Male ; Middle Aged ; Pharyngeal Diseases/surgery* ; Reconstructive Surgical Procedures/methods* ; Respiratory Tract Fistula/surgery* ; Surgical Flaps*
Keywords
Pharyngocutaneous fistula ; radial forearm free flap ; laryngectomy
Abstract
Pharyngocutaneous fistula is a dreaded complication after ablative surgery of the aerodigestive tract including the pharynx and larynx. This is a common problem for the surgeon. Two cases are presented with pharyngocutaneous fistula developing after total laryngectomy and radiation therapy. The fistula was reconstructed using a cork-design radial forearm free flap. Total obliteration of the fistula was obtained without complications. This new design provides the following advantages: extensive contact area between the flap and the inflamed surrounding tissue, discontinuity between the suture lines of the inner lining and the outer cover, and reinforcement of the suture line of the outer covering with skin graft. This method can be useful in reconstructing irradiated pharyngocutaneous fistulas.
Full Text
https://www.thieme-connect.com/DOI/DOI?10.1055/s-2006-951311
DOI
10.1055/s-2006-951311
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Yoo, Won Min(유원민)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/110544
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