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Peroneal flap in hypopharyngeal reconstruction
Ying-Sheng Lin1, Wen-Chung Liu, Lee-Wei Chen
1Division of Plastic and Reconstructive Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Annals of Surgical Oncology
|October 9, 2013
Summary
Peroneal flaps offer a viable solution for hypopharyngeal reconstruction, demonstrating comparable complication rates and donor site morbidity. This method effectively restores swallowing function in most patients.
Area of Science:
- Surgical reconstruction techniques
- Head and neck oncology
- Microsurgery
Background:
- Hypopharyngeal reconstruction presents significant challenges in restoring swallowing and speech functions.
- Traditional methods often involve complex procedures with varying functional outcomes.
Observation:
- A retrospective review of 14 peroneal flap reconstructions in 13 patients between 1997 and 2011 was conducted.
- Flaps were used in tubed or patch configurations depending on defect type (circumferential vs. non-circumferential).
Findings:
- No flap loss occurred in any of the 14 reconstructions.
- Stenosis and fistula rates were 7.1% and 14.3%, respectively.
- Nine out of 13 patients could resume a soft diet post-reconstruction, with only one requiring long-term nasogastric feeding.
Implications:
- Peroneal flap reconstruction demonstrates comparable postoperative complications and donor site morbidity.
- This technique is a viable and effective option for hypopharyngeal reconstruction, aiding functional recovery.
