Latissimus Dorsi and DIEP Flaps for Pharyngeal Reconstruction: A Novel Indication

Overview

Journal Indian J Otolaryngol Head Neck Surg

Publisher Springer

Date 2023 Aug 28

PMID 37636787

Authors

Alessandro Thione

Alberto Sanchez-Garcia

Ivan Heredia-Alcalde

Jorge Balaguer-Cambra

Alberto Perez-Garcia

Edward I Chang

Affiliations

Soon will be listed here.

Abstract

Aims: Complex pharyngeal defects after tumor resection remain a challenging dilemma for reconstructive plastic surgeons. They often benefit from pedicled or free flaps reconstruction to maintain continuity of the aerodigestive tract and protect the great vessels. While pedicle pectoralis major myocutaneous flaps or supraclavicular flaps have been described, microvascular free flaps have largely replaced the use of pedicle flaps.

Materials And Methods: We describe our experience with subtotal and total pharyngeal reconstruction utilizing tubed DIEP (n = 2) and latissimus dorsi free flaps (n = 2). All four patients were smokers and received prior radiation.

Results: All patients were able to resume a regular diet and did not suffer any recipient or donor site complications. There were no fistula or total flap losses.

Conclusion: In our experience, DIEP and latissimus dorsi free flaps can serve as a valid alternative to radial forearm, jejunal and anterolateral thigh flaps for pharyngeal reconstruction.

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