Pharyngeal reconstruction can be accomplished in a variety of ways, from pedicled to free revascularized tissue transfers. The use of an extra skin paddle combined with a buried radial forearm flap, which permits long-term postoperative monitoring under direct vision, has been described before. In this study, we monitored nine patients who had undergone pharyngeal reconstruction with a buried reversed radial forearm flap. Our modified technique gave better coverage of the large vessels and a better postoperative neck contour, prevented esophageal leakage and facilitated continuous postoperative patient monitoring, without any significant additional donor site morbidity.
European Journal of Plastic Surgery – Springer Journals
Published: May 22, 2000
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