REPAIR OF A LARGE PHARYNGOCUTANEOUS FISTULA WITH THE FREE DORSALIS PEDIS FLAP
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REPAIR OF A LARGE PHARYNGOCUTANEOUS FISTULA WITH THE FREE DORSALIS PEDIS FLAP
Ataturk University Medical Faculty, Department of Plastic and Reconstructive Surgery¹, Erzurum, Yuzuncu Yil University Faculty of Medicine, Plastic and Reconstructive Surgery2 Van, Turkey Postoperative pharyngocutaneous fistulas are the relatively frequent complications of total laryngo-oesophagectomy. Despite various treatment strategies have been mentioned in the literature, ideal method for closure of the large pharyngocutaneous fistulas is still controversial. In this report we have succesfully closed a large pharyngocutaneous fistula with free dorsalis pedis flap after ablation of oesophageal cancer
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- Nakatsuka T, Harii K, Ebihara S, et al. Closure of large pharyngo-oesephageal fistulas with free flap transfer after resections for cancer. Scand J Plast Reconstr Surg Hand Surg 1998; 32: 163- 170
- Bootz F, Weber A, Oeken J, Keiner S. Reconstruction of hypopharynx after pharyngolaryngectomy with U-shaped radial forearm flap. Laryngorhinootologie 2002; 81: 17-21
- Papazoglou G, Doundoulakis G, Terzakis G, Dokianakis G. Pharyngocutaneous fistula after total laryngectomy : Incidence, cause, and treatment. Ann Otol Rhinol Laryngol 1994; 103: 801- 805
- Robb GL, Swartz WM. Pharyngocutaneous fistulas: Management with one-stage flap reconstruction. Ann Plast Surg 1986; 16: 125-135
- Kimura Y, Tojima H, Nakamura T, Harada K, Koike Y. Deltopectoral flap for one-stage reconstruction of pharyngocutaneous fistulae following total laryngectomy. Acta Otolaryngol Suppl 1994; 511: 175-178
- Janssen DA, Thimsen DA. The extended submental island lip flap : An alternative for esophageal repair. Plast Recons Surg 1998; 102: 835-838
- Fabrizio T, Donati V, Nava M. Repair of the pharyngocutaneous fistula with a fasciocutaneous island flap pedicled on the superficial temporalis artery. Plast Recons Surg 2000; 106: 1573-1576
- Flynn MB, Acland RD. Free intestinal autografts for reconstruction following pharyngolaryngoesophagectomy. Gynecol Obstet 1979; 149: 858-862
- Cunha-Gomes D, Kavarana NM. The surgical treatment of post-laryngectomy pharyngocutaneous fistulae. Acta Chir Plast 2001; 43: 115-118
- Skoner JM, Bascom DA, Cohen JI, Andersen PE, Wax MK. Short-term functional donor site morbidity after radial forearm fasciocutaneous free flap harvest. Laryngoscope 2003;113:2091-4
- Jones BM, O’Brien CJ. Acute ischaemia of the hand resulting from elevation of a radial forearm flap. Br J Plast Surg 1985; 38:396-7
- McCraw JB, Furlow LT Jr. The dorsalis pedis arterialized flap: A clinical study. Plast Reconstr Surg 1975;55:177-85
- Ohmori K, Harii K. Free dorsalis pedis sensory flap to the hand, with microneurovascular anastomoses. Plast Reconstr Surg 1976;58:546-54
- Graf P, Hofmeister F, Schaff J, Biemer E. Morbidity of the donor site of the dorsalis pedis flap. Handchir Mihrochir Plast Chir 1992;24:239-42
- Sharzer LA. Free Flap Transfer in the Upper Extremity. In: McCarthy J-G, ed. Plastic Surgery. Philadelphia: Saunders, 1990: 4463-7