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[Glossus flap for hypopharyngeal reparation]
Lin Chuang Er Bi Yan Hou Ke Za Zhi = Journal of Clinical Otorhinolaryngology
|January 25, 2003
Summary
The glossus flap is an effective method for hypopharyngeal repair after cancer surgery. This technique promotes good swallowing function and high survival rates, with minimal complications.
Area of Science:
- Otorhinolaryngology
- Surgical Oncology
- Reconstructive Surgery
Context:
- Hypopharyngeal defects often result from oncologic resections.
- Reconstruction is crucial for restoring function after laryngectomy.
- Previous methods may have limitations in achieving optimal outcomes.
Purpose:
- To evaluate the efficacy of the glossus flap for hypopharyngeal reconstruction.
- To assess functional recovery and oncologic outcomes in patients undergoing this procedure.
Summary:
- The glossus flap, utilizing the glossus deep artery, was employed in 12 patients for hypopharyngeal repair post-total laryngotomy and partial hypopharyngotomy.
- Eleven patients demonstrated recovery of swallowing function within 15 days.
- One case of pharyngeal fistula occurred but resolved within 35 days. Survival rates at 1, 3, and 5 years were 81.8%, 66.7%, and 50%, respectively.
Impact:
- The glossus flap offers a viable reconstructive option for hypopharyngeal defects.
- This technique is associated with a rich blood supply, low complication rates, and favorable survival.
- Successful functional restoration and oncologic control are achievable with this surgical approach.