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Updated: Jun 11, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
06:32

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Flap selection for circumferential pharyngeal reconstruction.

Jonathan M Bernstein1,2, Margaret M Coffey3,2, Simon H Wood4,2

  • 1Department of Otolaryngology-Head and Neck Surgery.

Current Opinion in Otolaryngology & Head and Neck Surgery
|June 10, 2026
PubMed
Summary
This summary is machine-generated.

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The free jejunal flap (FJF) has the lowest fistula rate for pharyngeal reconstruction after total laryngopharyngectomy. However, flap choice depends on balancing risks like fistula, mortality, and morbidity.

Area of Science:

  • Head and Neck Surgery
  • Reconstructive Surgery
  • Oncology

Background:

  • Total laryngopharyngectomy necessitates pharyngeal reconstruction.
  • Multiple reconstructive options exist, leading to varied outcomes.
  • Systematic reviews offer comparative data but have limitations.

Purpose of the Study:

  • To synthesize findings from recent systematic reviews and meta-analyses on pharyngeal reconstruction.
  • To identify conflicts and divergences in existing comparative studies.
  • To evaluate factors influencing flap selection beyond systematic review data.

Main Methods:

  • Narrative review of six systematic reviews and meta-analyses (2019-2025).
  • Analysis of comparative data on reconstructive options for pharyngeal defects.
Keywords:
anterolateral thigh flapcircumferential pharyngeal reconstructionjejunal free flapneopharyngeal stricturepharyngocutaneous fistula

Related Experiment Videos

Last Updated: Jun 11, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
06:32

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

  • Consideration of factors not typically included in systematic reviews.

    • Main Results:

    • Free jejunal flap (FJF) shows the lowest fistula rates (8-11%).
    • Tubed anterolateral thigh (ALT) flap has trends toward lower flap failure and mortality.
    • Pectoralis major flap has the lowest stricture rate; FJF stricture risk increases with radiation.

    Conclusions:

    • Flap selection involves balancing fistula risk, perioperative mortality, and donor-site morbidity.
    • Defect extent, radiation, and surgeon experience are critical considerations.
    • Lack of randomized trials necessitates prospective data for improved decision-making.