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Postlaryngectomy pharyngoplasty with melolabial flap
Devendra Kumar Gupta1, Bhaumik Patel1, Deepika Tanwar2
1ENT-HNS, Indian Naval Hospital Ship Asvini, Mumbai, Maharashtra, India.
BMJ Case Reports
|May 9, 2024
Summary
The melolabial flap is an effective pharyngoplasty option after laryngectomy, particularly for patients who have undergone chemoradiotherapy. This technique offers functional reconstruction with acceptable donor site morbidity, showing promising oncological safety in initial findings.
Area of Science:
- Head and Neck Surgery
- Reconstructive Surgery
- Oncology
Background:
- Laryngectomy often necessitates pharyngeal reconstruction.
- Chemoradiotherapy can complicate reconstructive options.
- Existing flap techniques have limitations.
Purpose of the Study:
- To evaluate the melolabial flap for postlaryngectomy pharyngoplasty.
- To assess its efficacy, safety, and donor site morbidity.
- To compare it with other reconstructive methods.
Main Methods:
- Largest case series to date on melolabial flap pharyngoplasty.
- Retrospective analysis of patient outcomes.
- Focus on functional and cosmetic results, and oncological safety.
Main Results:
- Melolabial flap is a viable alternative for pharyngoplasty.
- Effective in post-chemoradiotherapy cases.
- Acceptable donor site morbidity with potential for impairment.
- No oncological recurrence observed in the study cohort.
Conclusions:
- Melolabial flap is a valuable option for postlaryngectomy pharyngoplasty.
- Addresses limitations of local and distant flaps.
- Requires specific patient consent for potential functional/cosmetic issues.
- Further studies with larger cohorts and longer follow-up are warranted.
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