Reconstruction of the hypopharynx with the anterolateral thigh flap: Defect classification, method, tips, and outcomes

Plastic and Reconstructive Surgery

Volumn 127, Issue 1, 2011, Pages 161-172

  Spyropoulou, Georgia Alexandra Ch ^a   Lin, Pao Yuan ^a   Chien, Chih Yen ^a   Kuo, Yur Ren ^a   Jeng, Seng Feng ^a  

^a CHANG GUNG UNIVERSITY COLLEGE OF MEDICINE   (Taiwan)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; FREE TISSUE GRAFT; HUMAN; HYPOPHARYNX; MALE; METHODOLOGY; MIDDLE AGED; PLASTIC SURGERY; POSTOPERATIVE COMPLICATION; REOPERATION; RETROSPECTIVE STUDY; THIGH; TRANSPLANTATION;

ADULT; AGED; FREE TISSUE FLAPS; HUMANS; HYPOPHARYNX; MALE; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS; RECONSTRUCTIVE SURGICAL PROCEDURES; REOPERATION; RETROSPECTIVE STUDIES; THIGH; TISSUE AND ORGAN HARVESTING;

EID: 78651334116     PISSN: 00321052     EISSN: None     Source Type: Journal    
DOI: 10.1097/PRS.0b013e3181f95997     Document Type: Article

References (27)

1. Wang HW, Chu PY, Kuo KT, et al. A reappraisal of surgical management for squamous cell carcinoma in the pharyngoesophageal junction. J Surg Oncol. 2006;93:468-476.
2. Coleman JJ III, Tan KC, Searles JM, Hester TR, Nahai F. Jejunal free autograft: Analysis of complications and their resolution. Plast Reconstr Surg. 1989;84:589-595; discussion 596-598.
3. Disa JJ, Pusic AL, Hidalgo DA, Cordeiro PG. Microvascular reconstruction of the hypopharynx: Defect classification, treatment algorithm, and functional outcome based on 165 consecutive cases. Plast Reconstr Surg. 2003;111:652-660.
4. Antony JP, Singer MI, Mathes SJ. Pharyngoesophageal reconstruction using the tubed free radial forearm flap. Clin Plast Surg. 1994;21:137-147.
5. Yu P, Robb GL. Pharyngoesophageal reconstruction with the anterolateral thigh flap: A clinical and functional outcomes study. Plast Reconstr Surg. 2005;116:1845-1855.
6. Chu PY, Chang SY. Reconstruction after resection of hypopharyngeal carcinoma: Comparison of the postoperative complications and oncologic results of different methods. Head Neck 2005;27:901-908.
7. Schusterman MA, Shestak K, deVries EJ, et al. Reconstruction of the cervical esophagus: Free jejunal transfer versus gastric pull-up. Plast Reconstr Surg. 1990;85:16-21.
8. Reece GP, Schusterman MA, Miller M, et al. Morbidity and functional outcome of free jejunal transfer reconstruction for circumferential defects of the pharynx and cervical esophagus. Plast Reconstr Surg. 1995;96:1307-1316.
9. Cordeiro PG, Shah K, Santamaria E, Gollub MJ, Singh B, Shah JP. Barium swallows after free jejunal transfer: Should they be performed routinely? Plast Reconstr Surg. 1995;103:1167-1175.
10. Chana JS, Wei FC. A review of the advantages of the anterolateral thigh flap in head and neck reconstruction. Br J Plast Surg. 2004;57:603-609.
11. Yang JC, Kuo YR, Hsieh CH, Jeng SF. The use of radial vessel stump in free radial forearm flap as flap monitor in head and neck reconstruction. Ann Plast Surg. 2007;59:378-381.
12. Spyropoulou GA, Kuo YR, Chien CY, Yang JC, Jeng SF. Buried anterolateral thigh flap for pharyngoesophageal reconstruction: Our method for monitoring. Head Neck 2009;31:882-887.
13. Koshima I, Fukuda H, Yamamoto H, Moriguchi T, Soeda S, Ohta S. Free anterolateral thigh flaps for reconstruction of head and neck defects. Plast Reconstr Surg. 1993;92:421-428; discussion 429-430.
14. Kimura N, Satoh K. Consideration of a thin flap as an entity and clinical applications of the thin anterolateral thigh flap. Plast Reconstr Surg. 1996;97:985-992.
15. Murray DJ, Gilbert RW, Vesely MJ, et al. Functional outcomes and donor site morbidity following circumferential pharyngoesophageal reconstruction using an anterolateral thigh flap and salivary bypass tube. Head Neck 2007; 29:147-154.
16. Genden EM, Jacobson AS. The role of anterolateral thigh flap for pharyngoesophageal reconstruction. Arch Otolaryngol Head Neck Surg. 2005;131:796-799.
17. Lewin JS, Barringer DA, May AH, et al. Functional outcomes after circumferential pharyngoesophageal reconstruction. Laryngoscope 2005;115:1266-1271.
18. Yu P. Characteristics of the anterolateral thigh flap in a Western population and its application in head and neck reconstruction. Head Neck 2002;26:759-769.
19. Davidge K, Pusic A, Disa JJ, Mehrara BJ. Use of the anterolateral thigh flap as an alternative to the rectus flap in obese and overweight patients. Ann Plast Surg. 2006;56: 536-539.
20. Chien CY, Su CY, Hwang CF, Chuang HC, Jeng SF, Chen YC. Ablation of advanced tongue or base of tongue cancer and reconstruction with free flap: Functional outcomes. Eur J Surg Oncol. 2006;32:353-357.
21. Lin PY, Kuo YR, Chien CY, Jeng SF. Reconstruction of head and neck cancer with double flaps: Comparison of single and double recipient vessels. J Reconstr Microsurg. 2009; 25:191-195.
22. Kuo YR, Jeng SF, Wei FC, Su CY, Chien CY. Functional reconstruction of complex lip and cheek defect with free composite anterolateral thigh flap and vascularized fascia. Head Neck 2008;30:1001-1006.
23. Chuang HC, Su CY, Jeng SF, Chien CY. Anterior lateral thigh flap for buccal mucosal defect after resection of buccal cancer. Otolaryngol Head Neck Surg. 2007;137:632-635.
24. Rozen WM, Ashton MW, Pan WR, et al. Anatomical variations in the harvest of anterolateral thigh flap perforators: A cadaveric and clinical study. Microsurgery 2009; 29:16-23.
25. Azizzadeh B, Yafai S, Rawnsley J, et al. Radial forearm free flap pharyngoesophageal reconstruction. Laryngoscope 2001; 111:807-810.
26. Yu P. One-stage reconstruction of complex pharyngoesophageal, tracheal, and anterior neck defects. Plast Reconstr Surg. 2005;116:949-956.
27. Richmon JD, Brumund KT. Reconstruction of the hypopharynx: Current trends. Curr Opin Otolaryngol Head Neck Surg. 2007;15:208-212.