Format

Send to

Choose Destination
Am J Otolaryngol. 2015 Jan-Feb;36(1):93-6. doi: 10.1016/j.amjoto.2014.08.015. Epub 2014 Sep 3.

Delayed platysma myocutaneous turnover flap for repair of pharyngocutaneous fistula.

Author information

1
Section of Otolaryngology, Department of Surgery, Yale University School of Medicine, New Haven, CT, USA. Electronic address: paul.neubauer@yale.edu.
2
Department of Otolaryngology, Head and Neck Surgery, Baylor College of Medicine, Houston, TX, USA.
3
Section of Otolaryngology, Department of Surgery, Yale University School of Medicine, New Haven, CT, USA.

Abstract

INTRODUCTION:

Pharyngocutaneous fistula (PCF) is a common and serious complication after total laryngectomy. Numerous surgical and non-surgical treatment approaches have been described. Here we describe a platysma myocutaneous turnover flap for repair of PCF.

MATERIALS AND METHODS:

Platysma myocutaneous turnover flap is described and two patients are used as examples.

RESULTS:

Repair was initially successful in both patients; however, one patient had recurrence of fistula after her cancer recurred at the stoma.

DISCUSSION:

Numerous surgical techniques have been described for repair of PCF. Here a turnover flap was used, a technique not previously described for this problem. The delay technique enhances the viability of the flap thought to be through numerous mechanisms.

CONCLUSION:

The platysma myocutaneous turnover flap is useful for closure of pharyngocutaneous fistula when non-operative measures have failed.

PMID:
25241029
DOI:
10.1016/j.amjoto.2014.08.015
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center