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Hypopharyngeal reconstruction with the radial forearm flap
P R Delaere1, F Ostyn, W D Boeckx
1Department of Oto-Rhino-Laryngology, University Hospital St. Rafaël, Leuven.
Acta Chirurgica Belgica
|May 1, 1990
Summary
The radial forearm flap offers a thin, pliable solution for hypopharyngeal reconstruction after surgery. This fasciocutaneous free flap avoids bulky tissue, preserving pharyngeal function and improving outcomes.
Area of Science:
- Reconstructive surgery
- Head and neck oncology
- Vascularized free flaps
Background:
- Pharyngeal reconstruction presents challenges, particularly after partial hypopharyngectomy.
- Large myocutaneous flaps can impede pharyngeal function due to bulk.
- Alternative thin flap options are needed for optimal functional outcomes.
Purpose of the Study:
- To evaluate the utility of the radial forearm flap in hypopharyngeal reconstruction.
- To assess the suitability of this thin fasciocutaneous flap for replacing hypopharyngeal mucosa.
- To determine if this flap can minimize interference with pharyngeal function.
Main Methods:
- Utilized the radial forearm flap, a fasciocutaneous free flap, for reconstruction.
- Transferred the flap based on the radial artery and vein.
- Assessed flap characteristics in patients with partial hypopharyngectomy, tracheo-esophageal fistulas, and hypopharyngeal stenosis.
Main Results:
- The radial forearm flap provides a well-vascularized tissue source.
- Its thin and pliable nature is well-suited for mucosal replacement in the pharynx.
- This approach results in a thin-walled pharynx, potentially preserving function.
Conclusions:
- The radial forearm flap is an effective option for hypopharyngeal reconstruction.
- Its thin, pliable characteristics are advantageous over bulkier flaps.
- This technique facilitates reconstruction while minimizing functional compromise.