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Related Experiment Videos

The Wookey flap revisited.

Krishnamurthi Sundaram1, Gady Har-El

  • 1Department of Otolaryngology, State University of New York-Health Science Center, Brooklyn, New York, and The Long Island College Hospital, Brooklyn, New York, USA.

Head & Neck
|April 5, 2002
PubMed
Summary

The Wookey flap with a delay stage offers a reliable option for pharyngoesophageal reconstruction when standard methods fail. This technique successfully restored oral feeding in five out of six patients undergoing circumferential resection.

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Area of Science:

  • Surgical reconstruction techniques
  • Head and neck surgery
  • Otolaryngology

Background:

  • Gastric transposition and microvascular techniques are standard for pharyngoesophageal reconstruction.
  • Alternative methods are needed for patients with comorbidities or prior failures.
  • Local flaps offer a reliable reconstructive option in challenging cases.

Observation:

  • The Wookey flap technique, with an added delay stage, was used in six patients with complete circumferential pharyngoesophageal loss.
  • This retrospective review analyzed the outcomes of these reconstructions.

Findings:

  • Five of the six patients achieved successful pharyngoesophageal reconstruction.
  • All successful reconstructions enabled the resumption of oral alimentation.

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  • One patient experienced flap failure.

    • Implications:

    • The Wookey flap, particularly with a delay stage, serves as a viable