Repair of post-laryngectomy pharyngocutaneous fistulae by muscle flaps
A muscle flap was utilized for repair of pharyngocutaneous fistulae following total laryngectomy after irradiation in ten cases. A sternocleidomastoid flap was used in four cases with a type I fistula. In two of these the investing fascia over the muscle was utilized for supplementing mucosal closure. A pectoralis major muscle flap was utilized in six patients with a type II or III fistula. The fistula healed in all cases. Technical details and one illustrative case are described.
KeywordsMuscle Flap Total Laryngectomy Radical Neck Dissection Superior Thyroid Artery Skin Island
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