Abstract

CARRASCO-LOPEZ, C. et al. Immediate microsurgical reonstruction after pharyngolaringhectomy: 10 years experience. Cir. plást. iberolatinoam. [online]. 2015, vol.41, n.1, pp.67-72. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922015000100008.

Reconstruction of circular surgery treatment in advanced pharyngolaringeal carcinoma is a challenge. Some models of reconstructions have been reported but no protocols or either best model of reconstruction has been defined. We present our 10-years experience (1998-2008) in these cases of reconstruction with 25 microsurgical flaps and we review the state of art in this issue. Fifteen jejunum flaps and 10 fasciocutaneous flaps were harvested; 83,3% of the patients could start feeding again by oral diet. The jejunum flap group started the oral nutrition in 13th day, instead of the fasciocutaneous group which started the 27th day. No evidence differences were found between the two groups. Despite the fact that there is still controversial about the best reconstruction for these cases, in our experience, the visceral flap is the best because of low morbility and better local outcomes.

Keywords : Pharyngolaringeal carcinoma; Faringolaringuectomy; Farinx reconstruction; Larinx reconstruction; Jejunum flap; Fasciocutaneous flaps.

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