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In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury
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Modified Infrahyoid Myocutaneous Flap for Laryngopharyngeal Reconstruction
Danqing Yan1, Jian Zhang1, Xiang Min1
1Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, People's Republic of China.
Ear, Nose, & Throat Journal
|May 14, 2019
Summary
The modified infrahyoid myocutaneous flap (IHMCF) offers a safe and effective solution for laryngopharyngeal reconstruction in pyriform sinus cancer patients. This technique demonstrates good flap survival and acceptable functional outcomes, making it a viable alternative for defect repair.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Head and Neck Surgery
Background:
- Laryngopharyngeal reconstruction after pyriform sinus carcinoma surgery presents significant surgical challenges.
- Current reconstruction methods may have limitations in terms of functional outcomes and complication rates.
Purpose of the Study:
- To evaluate the safety and efficacy of the modified infrahyoid myocutaneous flap (IHMCF) for laryngopharyngeal reconstruction in patients with hypopharyngeal squamous cell carcinoma.
- To detail the modified incision design and assess clinical outcomes, including flap viability, oncological results, and functional preservation.
Main Methods:
- A retrospective study included 10 patients undergoing hemicricolaryngopharyngectomy for hypopharyngeal squamous cell carcinoma between January 2012 and February 2018.
- The modified IHMCF was utilized for laryngopharyngeal reconstruction, with data collected on flap drainage, oncological outcomes, and laryngeal function.
- Follow-up assessments included flap survival, complications, need for nasogastric feeding, decannulation rates, and speech/swallowing function.
Main Results:
- All 10 modified IHMCFs demonstrated successful survival without necrosis or major complications.
- Patients experienced acceptable oncological outcomes and functional preservation, with none requiring prolonged nasogastric feeding.
- Six patients were successfully decannulated, and laryngoscopic examination confirmed good glottic function and ventilation.
Conclusions:
- The modified infrahyoid myocutaneous flap (IHMCF) is a safe and effective method for laryngopharyngeal reconstruction in pyriform sinus carcinoma.
- This technique provides a viable alternative to free flaps and pectoralis major myocutaneous flaps for complex head and neck reconstructions.
- The IHMCF facilitates acceptable functional recovery, including speech and swallowing, alongside good ventilation post-surgery.
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