Morbidity and functional outcomes following gastro‐omental free flap reconstruction of circumferential pharyngeal defects

@article{Patel2009MorbidityAF,
  title={Morbidity and functional outcomes following gastro‐omental free flap reconstruction of circumferential pharyngeal defects},
  author={Rajan S. Patel and Antti A. Makitie and David Paul Goldstein and Patrick J. Gullane and Dale H. Brown and Jonathan C. Irish and Ralph W. Gilbert},
  journal={Head \& Neck},
  year={2009},
  volume={31}
}
In patients with extensive soft tissue fibrosis requiring circumferential pharyngeal reconstruction following definitive radiotherapy and/or chemotherapy, we take advantage of abundant omental progenitor factors in the tubed gastro‐omental free flap. This study reviews our experience with this flap. 
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Salvage Circular Laryngopharyngectomy and Radial Forearm Free Flap for Recurrent Hypopharyngeal Cancer
To evaluate surgical and long‐term oncologic outcomes in a series of patients who underwent circular total laryngopharyngectomy with tubed radial forearm free flap as salvage surgery.
Utility of the gastro-omental free flap in head and neck reconstruction
TLDR
The gastro-omental free flap provides an alternative to traditional reconstructive techniques that is ideally suited to high-risk complex wounds in the head and neck.
Quality‐of‐life and functional outcomes following pharyngolaryngectomy: a systematic review of literature
  • S. Mahalingam, R. Srinivasan, P. Spielmann
  • Medicine
    Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
  • 2016
TLDR
The long‐term prognosis of hypopharyngeal cancer is poor and surgery necessitates pharyngolaryngectomy with flap reconstruction, which is important for functional outcomes to maintain a respectable quality of life.
Hypopharyngeal reconstruction with gastro-omental free flap.
Salvage total pharyngolaryngectomy and free jejunum transfer
The objective of this retrospective study was to examine the safety and efficacy of free jejunum transfer after total pharyngolaryngectomy after radiotherapy (RT) or chemoradiotherapy (CRT) to the…
Salvage laryngectomy and laryngopharyngectomy: Multicenter review of outcomes associated with a reconstructive approach
Surgeons have developed various reconstructive techniques to minimize the rate of pharyngocutaneous fistula and optimize functional outcome after salvage laryngectomy or laryngopharyngectomy.
Circumferential pharyngeal reconstruction: History, critical analysis of techniques, and current therapeutic recommendations
TLDR
The present review evaluates the reconstructive techniques described in the literature, including historical techniques as well as more recent innovative methods, with particular reference to postoperative morbidity and functional rehabilitation.
Gastro-omental free flap for reconstruction of tongue defects.
[The cross-plastic correction of the soft tissue defect on the neck with the use of a pectoral flap harvested from the opposite side].
TLDR
The patients who underwent cross-plastic surgery for the correction of the extensive soft tissue defect on the neck with the use of the musculocutaneous pectoral flap with the axial blood supply and the observation during the 14 year follow-up period confirmed the good functional outcome of the treatment.
Reconstructive options after total laryngectomy with subtotal or circumferential hypopharyngectomy and cervical esophagectomy
TLDR
Fasciocutaneous free flaps seem to play an ever greater role in restoration of pharyngoesophageal continuity, and gastro-omental seems to offer an unparalleled amount of highly vascularized tissue to manage the difficult situation of salvage surgery after chemoradiation.
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References

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