Tracheal advancement with myomucosal island flap for partial laryngopharyngectomy defect reconstruction

Tracheal advancement with myomucosal island flap for partial laryngopharyngectomy defect... INTRODUCTIONVertical partial laryngopharyngectomy involves removal of the ipsilateral structures above the cricoid cartilage and is indicated for selected laryngeal and hypopharyngeal tumors. Glottic cancers with subglottic extension and pyriform fossa cancers involving the apex require an extended form of partial laryngopharyngectomy with hemicricoid resection for clear margins. Rigid support in the area of lost laryngeal cartilages and adequate soft tissue for pharyngeal defect are necessary to restore the functions of the larynx and pharynx. The purpose of this case report was to share our experience in such a defect with a novel single‐stage reconstruction without the need for microvascular surgery.CASE REPORTA 49‐year‐old man with squamous cell carcinoma of the right pyriform sinus, post 2 cycles of neoadjuvant chemotherapy with cisplatin and 5‐fluorouracil, with progressive disease and with no other comorbidities, was referred to our department for consideration of surgery. On examination, the patient had a Karnofsky performance score of 90. On videolaryngoscopy, an ulcerative lesion involving the apex and the medial and lateral walls of the right pyriform sinus extending superiorly up to the pharyngoepiglottic fold was noted. Both vocal cords were mobile (see Figure ). Significant bilateral cervical lymph node enlargement was present. An MRI of the neck http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Head & Neck: Journal for the Sciences & Specialties of the Head and Neck Wiley

Tracheal advancement with myomucosal island flap for partial laryngopharyngectomy defect reconstruction

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 Wiley Periodicals, Inc.
ISSN
1043-3074
eISSN
1097-0347
D.O.I.
10.1002/hed.25089
Publisher site
See Article on Publisher Site

Abstract

INTRODUCTIONVertical partial laryngopharyngectomy involves removal of the ipsilateral structures above the cricoid cartilage and is indicated for selected laryngeal and hypopharyngeal tumors. Glottic cancers with subglottic extension and pyriform fossa cancers involving the apex require an extended form of partial laryngopharyngectomy with hemicricoid resection for clear margins. Rigid support in the area of lost laryngeal cartilages and adequate soft tissue for pharyngeal defect are necessary to restore the functions of the larynx and pharynx. The purpose of this case report was to share our experience in such a defect with a novel single‐stage reconstruction without the need for microvascular surgery.CASE REPORTA 49‐year‐old man with squamous cell carcinoma of the right pyriform sinus, post 2 cycles of neoadjuvant chemotherapy with cisplatin and 5‐fluorouracil, with progressive disease and with no other comorbidities, was referred to our department for consideration of surgery. On examination, the patient had a Karnofsky performance score of 90. On videolaryngoscopy, an ulcerative lesion involving the apex and the medial and lateral walls of the right pyriform sinus extending superiorly up to the pharyngoepiglottic fold was noted. Both vocal cords were mobile (see Figure ). Significant bilateral cervical lymph node enlargement was present. An MRI of the neck

Journal

Head & Neck: Journal for the Sciences & Specialties of the Head and NeckWiley

Published: Jan 1, 2018

Keywords: ; ; ; ;

References

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