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Repair of post-laryngectomy pharyngocutaneous fistulae by muscle flaps

  • D. A. Tandon
  • S. Bahadur
  • S. Bhendwal
Short Communication
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Abstract

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.

Keywords

Muscle Flap Total Laryngectomy Radical Neck Dissection Superior Thyroid Artery Skin Island 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

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    Conley J, Gullane PJ (1980): The sternomastoid muscle flap. Head and Neck Surgery. 2: 308–311.PubMedCrossRefGoogle Scholar
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    Owens N (1955): A compound neck pedicle designed for repair of massive facia defects: formation, development and application. Plastic and Reconstructive Surgery, 15: 369–374.PubMedCrossRefGoogle Scholar
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    Tandon DA, Bahadur S, Laldina HC, Sundaram KR (1992): Role of prophylactic antibiotics in surgery for advanced head and neck cancer. Journal of Laryngology and Otology, 106: 621–624.PubMedGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 1996

Authors and Affiliations

  • D. A. Tandon
    • 1
  • S. Bahadur
    • 1
  • S. Bhendwal
    • 1
  1. 1.Department of otorhinolaryngologyAll India Institute of Medical SciencesNew Delhi

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