Reconstructive surgery for the hypopharynx and cervical esophagus using pedicle flaps and musculocutaneous flaps.

1985 ◽  
Vol 78 (3) ◽  
pp. 380-383
Author(s):  
YASUSHI MURAKAMI
2020 ◽  
Vol 24 (2) ◽  
pp. 154-160
Author(s):  
Noelle Wong ◽  
Irèn Kossintseva

Background Island pedicle flaps (IPFs) are widely used in reconstructive surgery due to their versatility, tissue efficiency, and excellent clinical outcomes. While IPF rotations and ‘pincer flap’ modifications have previously been sparsely described, they are not often discussed in the literature. Objective We demonstrate the use of both rotating IPFs and pincer techniques for defects traditionally considered too large for classic IPF design on the nasal ala. Methods Forty-four patients underwent alar repair using the rotation or combined rotation with pincer modification to the standard IPF technique from August 2014 to May 2017. Our technique is described and case examples are presented with photographs. Results Forty-four patients with an average alar defect size of 1.2 cm underwent repair using rotation only or rotation with pincer modification of the classic IPF approach. Conclusions Reconstruction of large defects in small facial cosmetic subunits such as the nasal ala can be performed using principles of both rotating IPFs and the ‘pincer flap’ technique. The degree of rotation is directly related to the length of coverage. Modifications to the flap are straightforward to perform. Using these techniques, larger defects that previously would have been reconstructed using flaps that cross cosmetic boundaries can now be reconstructed within the same cosmetic unit, thus, improving aesthetic outcomes.


2019 ◽  
Vol 211 ◽  
pp. 84-122
Author(s):  
Chelsea J. Stephens ◽  
Jason A. Spector ◽  
Jonathan T. Butcher

1989 ◽  
Vol 35 (4) ◽  
pp. 930-936
Author(s):  
Eisuke FUJIMOTO ◽  
Kohichi OKABE ◽  
Kanya MATSUBARA ◽  
Ryuzho KATOH ◽  
Yuuichi NAKAI ◽  
...  

1985 ◽  
Vol 36 (1) ◽  
pp. 31-35
Author(s):  
Katsuji Asano ◽  
Yasuyuki Doi ◽  
Masamichi Nishio ◽  
Tomoyasu Sakurai ◽  
Yoshitaka Murakami ◽  
...  

1995 ◽  
Vol 112 (5) ◽  
pp. P114-P114
Author(s):  
David E. Schuller ◽  
Ronald C. Hamaker ◽  
William R. Panje

Educational objectives: To identify the musculocutaneous flaps most commonly used in head and neck reconstructive surgery and to discuss the clinical considerations and indications for use of musculocutaneous flaps in head and neck reconstructive surgery.


1986 ◽  
Vol 95 (4_suppl) ◽  
pp. 1-16 ◽  
Author(s):  
William W. Montgomery ◽  
Stuart K. Montgomery

This manual is designed to instruct the surgeon, nurse, and, directly or indirectly, the patient on the updated usage of prostheses involved with reconstructive surgery of the larynx, trachea, and esophagus. The silicone tracheal T-tube has been modified in an attempt to prevent its being displaced posteriorly into the trachea. The silicone tracheal cannula can be used in place of a tracheotomy tube unless there is aspiration or positive pressure breathing is required. Its success with sleep apnea has been especially gratifying. The salivary bypass tube and the esophageal tube continue to be of use when treating esophageal fistulas, strictures, and reconstruction of the cervical esophagus. The laryngeal keel and stent are described and illustrated for use with reconstructive laryngeal surgery.


1991 ◽  
Vol 42 (3) ◽  
pp. 268-272
Author(s):  
Wataru Oshima ◽  
Miho Nakao ◽  
Akira Takada ◽  
Mariko Matsumoto ◽  
Ryo Kawata ◽  
...  

1992 ◽  
Vol 29 (2) ◽  
pp. 149-152 ◽  
Author(s):  
Isao Koshima ◽  
Takahiko Moriguchi ◽  
Shugo Soeda ◽  
Hidekazu Yamamoto ◽  
Yozo Orita ◽  
...  

1985 ◽  
Vol 12 ◽  
pp. S24-S29 ◽  
Author(s):  
Goro Mogi ◽  
Tatsuya Fujiyoshi ◽  
Yuichi Kuroivo ◽  
Hideyuki Kawauchi ◽  
Hiroyuki Yoshimura

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