scholarly journals Deltopectoral Flap Reconstruction of the Posterior Pharyngeal Wall: A Single Stage Pedicle Flap Alternative Solution to the Free Flap Reconstruction of Circumferential Laryngopharyngeal Defects

2022 ◽  
Author(s):  
Swee Keong Kang ◽  
Sabih Nadeem Qamar ◽  
Theofano Tikka ◽  
Thomas Daniel Milner
Keyword(s):  
Free Flap ◽  
Posterior Pharyngeal Wall ◽  
Single Stage ◽  
Alternative Solution ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Pedicle Flap ◽  
Pharyngeal Wall ◽  
Deltopectoral Flap

scholarly journals Indications and Clinical Outcomes of Transoral Robotic Surgery and Free Flap Reconstruction

Cancers ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 2831
Author(s):  
Philippe Gorphe ◽  
Stéphane Temam ◽  
Antoine Moya-Plana ◽  
Nicolas Leymarie ◽  
Frédéric Kolb ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Learning Curve ◽  
Clinical Outcomes ◽  
Free Flap ◽  
Functional Outcomes ◽  
Second Primary ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Pharyngeal Wall ◽  
Surgical Data

We reviewed the indications, peroperative feasibility, and postoperative clinical outcomes of our first 50 consecutive patients who underwent free flap reconstruction after TORS for complex pharyngeal defects at our institution. We analyzed indications according to previous radiotherapy, the size of the resection, and the transoral exposure of critical structures. We reviewed surgical data, postoperative complications, and functional outcomes comprising tracheostomy and alimentation management. Indications were upfront surgery (34%), a second primary surgery after radiotherapy (28%), or salvage surgery after chemoradiotherapy failure (38%). Localizations were the tongue base (44%), tonsillar fossa (28%), pharyngeal wall (22%), and soft palate (6%). T-classifications were T1 (6%), T2 (52%), T3 (20%), and T4 (22%). The mean length of the surgery was 574 min. Two patients were intraoperatively converted to a conventional approach at the beginning of the learning curve. In conclusion, TORS and free flap reconstruction in complex situations were associated with low rates of postoperative complications and satisfactory functional outcomes. They were, however, associated with a renewed learning curve.

Considerations in Free Flap Reconstruction of the Midface

2021 ◽  
Author(s):  
Daniel Hammer ◽  
Aurora G. Vincent ◽  
Fayette Williams ◽  
Yadranko Ducic
Keyword(s):  
Free Flap ◽  
Preoperative Assessment ◽  
Free Flaps ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Pedicle Flap ◽  
Free Flap Surgery ◽  
Management Of Complications ◽  
Flap Design ◽  
Midface Reconstruction

AbstractMidface reconstruction has been a consistent challenge for reconstructive surgeons even with the significant advances in technology and technique achieved over the recent years. A meticulous preoperative assessment of the patient is required to properly assess the defect or anticipated defect, determine proper reconstructive surgical plan, and discuss expected functional and aesthetic outcomes with the patient. For years we have employed local flaps, regional flaps, obturators, alloplastic implants, free flaps, or a combination of the previously mentioned techniques to address complex midface reconstruction. Free flap reconstruction in the midface requires special considerations for the pedicle, flap selection, and flap design to ensure an optimal outcome. The introduction of virtual surgical planning for reconstruction has enhanced patient outcomes to include advances in immediate dental rehabilitation at the time of free flap surgery. Postoperative considerations including quality of life, functional and aesthetic outcomes, and management of complications will also be discussed.

Orbital Outcomes after Periorbital Free Flap Reconstruction

2019 ◽  
Author(s):  
Ramez Philips ◽  
Alexander Graf ◽  
Michael Topf ◽  
Howard Krein ◽  
Ryan Heffelfinger ◽  
...  
Keyword(s):  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction

Technical Considerations in Pedicle Management in Upper and Midfacial Free Flap Reconstruction

2021 ◽  
Author(s):  
Brian Swendseid ◽  
Matthew Stewart ◽  
Eric Mastrolonardo ◽  
Eleanor McCreary ◽  
Ryan Heffelfinger ◽  
...  
Keyword(s):  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Technical Considerations
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