Modified Adipofascial Internal Mammary Artery Perforator Flap for Secondary Esophagoplasty

Papillary thyroid carcinoma with esophageal invasion often requires simultaneous reconstruction after radical tumor resection. However, in a recurrent case, with the upper aerodigestive tract previously reconstructed by a free flap, the alternative option for secondary reconstruction still presents a great challenge for surgeons. Here, we describe a novel secondary cervical esophagoplasty technique using a modified adipofascial internal mammary artery perforator flap. The 2-month follow-up postoperatively showed satisfactory patency of the cervical esophagus. The modified adipofascial internal mammary artery perforator flap is a reliable and convenient technique, with better aesthetic results for secondary cervical esophageal reconstruction.