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.
Similar content being viewed by others
References
Ariyan S (1979): The pectoralis major myocutaneous flap. Plastic and Reconstructive Surgery, 63: 73–77.
Conley J, Gullane PJ (1980): The sternomastoid muscle flap. Head and Neck Surgery. 2: 308–311.
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.
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.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Tandon, D.A., Bahadur, S. & Bhendwal, S. Repair of post-laryngectomy pharyngocutaneous fistulae by muscle flaps. IJO & HNS 48, 249–251 (1996). https://doi.org/10.1007/BF03048629
Issue Date:
DOI: https://doi.org/10.1007/BF03048629