1887

n South African Journal of Surgery - Voice prosthesis related expanding tracheoesophageal puncture repair : microsurgical reconstruction to pedicled pectoralis major muscle flap - head and neck surgery

Volume 56 Number 4
  • ISSN : 0038-2361
  • E-ISSN: 2078-5151
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Abstract

Insertion of voice rehabilitation devices (VRD) via tracheoesophageal punctures (TEP) post laryngectomy is considered the standard of care. The management of periprosthetic leakage from the puncture site in a zone of previous neck dissection and or radiotherapy is problematic when it results in a tracheoesophageal fistula (TOF), as simple surgical closure and use of tissue for flaps carries a high risk of failure. We share our clinical experience in 3 of 42 patients who had a laryngectomy and VDR, who developed an expanding TEP with failure of free flaps in two, and the utility of a narrow pectoralis major myofascial flaps (PMMF) as a universally successful salvage or primary procedure.

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/content/journal/10520/EJC-1255a2970e
2018-11-01
2019-02-24

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