Reconstruction of hypopharyngeal non-circumferential defects with a submental island flap after hypopharyngeal carcinoma ablation.
Liangfa Liu, Yanli Liu, Yanlin Wang, Yueying Ma, Jiandong Zhao
Objective: To study the effects of reconstruction of hypopharyngeal non-circumferential defects with a submental island flap after hypopharyngeal carcinoma ablation. Methods: The charts of eight patients who had stage III-IV hypopharyngeal cancer and who under-went pharyngeal reconstruction with a submental flap, operated upon, between 2011 and 2012 were reviewed retrospectively. All reconstructions were performed by a single surgeon. Surgical procedures, effects and complications were analyzed. Result: All of the donor site defects were closed primarily without any difficulties. None of patient developed a pharyngocutaneous fistula postoperatively. The function of the marginal mandibular nerve was intact in all of the patients postoperatively. There were no perioperative mortalities, and there were no observed flap complications. The donor site healed well and the donor site esthetic outcome was acceptable in all patients. All patients had decannulation of the nasogastric tube in 2 weeks postoperatively. Six patients with partial laryngopharyngectomy had decannulation of the tracheal tube in 2 months postoperatively after completion of the radiotherapy. Three months postoperatively, X-ray barium meal radiography did not show any stricture or stenosis in any of the patients without any sign of aspiration. Among six patients with partial laryngopharyngectomy, 2 patients with pyrifom sinus carcinoma had left persistent hoarseness caused by ipsilateral vocal cord paralysis, 4 patients with posterior hypopharyngeal wall carcinoma had a normal voice with good motility of the vocal cords. Two patients suffered loco-regional recurrence 6 months postoperatively. Conclusion: The submental flap is a very applicable option for reconstructing moderately sized non-circumferential hypopharyngeal defects after hypopharyngeal carcinoma ablation.
Key Words: submental island flap, hypopharyngeal carcinoma, reconstruction
下咽肿瘤放化疗后疼痛如果治疗 下咽肿瘤，放疗，化疗，后吃饭疼痛 如何治疗下咽出疼痛的感觉，应该需要服用那些药物。
下喉肿瘤 下咽肿瘤，憋的慌，能手术吗？ 能手术吗