Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 61, Issue 10 , Pages 1148-1156 , October 2008

Fasciocutaneous free flaps in pharyngolaryngo-oesophageal reconstruction: a critical review of the literature

  • Dylan J. Murray

      Affiliations

    • Division of Plastic Surgery, University Health Network, University of Toronto, Toronto, Ontario, Canada
  • ,
  • Christine B. Novak

      Affiliations

    • Wharton Head and Neck Centre, University Health Network, Toronto, Ontario, Canada
  • ,
  • Peter C. Neligan

      Affiliations

    • Division of Plastic Surgery, University Health Network, University of Toronto, Toronto, Ontario, Canada
    • Wharton Head and Neck Centre, University Health Network, Toronto, Ontario, Canada
    • Corresponding Author InformationCorresponding author. Address: Division of Plastic Surgery, 8N-865, 200 Elizabeth Street, Toronto, ON M5G 2C4, Canada. Tel.: +1 416 340 3449; fax: +1 416 340 4403.

Received 8 November 2006 ,Accepted 24 September 2007.

References 

  1. Reece GP, Bengtson BP, Schusterman MA. Reconstruction of the pharynx and cervical esophagus using free jejunal transfer. Clin Plast Surg. 1994;21:125–136
  2. Silver CE. Reconstruction after pharyngolaryngectomy–esophagectomy. Am J Surg. 1976;132:428–434
  3. Bakamjian VY. A two-stage method for pharyngoesophageal reconstruction with a primary pectoral skin flap. Plast Reconstr Surg. 1965;36:173–184
  4. Ariyan S. Further experiences with the pectoralis major myocutaneous flap for the immediate repair of defects from excisions of head and neck cancers. Plast Reconstr Surg. 1979;64:605–612
  5. Harii K, Ebihara S, Ono I, et al. Pharyngoesophageal reconstruction using a fabricated forearm free flap. Plast Reconstr Surg. 1985;75:463–476
  6. Carlson GW, Schusterman MA, Guillamondegui OM. Total reconstruction of the hypopharynx and cervical esophagus: a 20-year experience. Ann Plast Surg. 1992;29:408–412
  7. Chen Y, Chen H, Vranckx JJ, et al. Edge deepithelialization: a method to prevent leakage when tubed free skin flap is used for pharyngoesophageal reconstruction. Surgery. 2001;130:97–103
  8. Genden EM, Jacobson AS. The role of the anterolateral thigh flap for pharyngoesophageal reconstruction. Arch Otolaryngol Head Neck Surg. 2005;131:796–799
  9. Scharpf J, Esclamado RM. Reconstruction with radial forearm flaps after ablative surgery for hypopharyngeal cancer. Head Neck. 2003;25:261–266
  10. Azizzadeh B, Yafai S, Rawnsley JD, et al. Radial forearm free flap pharyngoesophageal reconstruction. Laryngoscope. 2001;111:807–810
  11. Varvares MA, Cheney ML, Gliklich RE, et al. Use of the radial forearm fasciocutaneous free flap and montgomery salivary bypass tube for pharyngoesophageal reconstruction. Head Neck. 2000;22:463–468
  12. Cho BC, Kim M, Lee JH, et al. Pharyngoesophageal reconstruction with a tubed free radial forearm flap. J Reconstr Microsurg. 1998;14:535–540
  13. Guler MM, Isik S, Sezgin M. Pharyngoesophageal reconstruction with the tubed radial forearm free flap. Eur Arch Otorhinolaryngol. 1998;255:24–26
  14. Nakatsuka T, Harii K, Asato H, et al. Comparative evaluation in pharyngo-oesophageal reconstruction: radial forearm flap compared with jejunal flap. A 10-year experience. Scand J Plast Reconstr Surg Hand Surg. 1998;32:307–310
  15. Endo T, Nakayama Y. Pharyngoesophageal reconstruction: a clinical comparison between free tensor fasciae latae and radial forearm flaps. J Reconstr Microsurg. 1997;13:93–97
  16. Su CY, Chiang YC. The fabricated radial forearm flap in pharyngolaryngeal surgery: saliva leakage and its prevention. Br J Plast Surg. 1995;48:212–217
  17. Anthony JP, Singer MI, Mathes SJ. Pharyngoesophageal reconstruction using the tubed free radial forearm flap. Clin Plast Surg. 1994;21:137–147
  18. Stark B, Nathanson A. The free radical forearm flap: a reliable method for reconstruction of the laryngohypopharynx after in-continuity resection. Acta Otolaryngol. 1998;118:419–422
  19. Deutman HC, Hartman EHM, Marres HAM. A buried reversed radial forearm flap in pharyngeal reconstruction:refinements and monitoring. Eur J Plast Surg. 2000;204–207
  20. Akin I, Torkut A, Ustunsoy E, et al. Results of reconstruction with free forearm flap following laryngopharyngo-oesophageal resection. J Laryngol Otol. 1997;111:48–53
  21. Murray DJ, Gilbert RW, Vesely MJJ, et al. Functional outcomes and donor site morbidity following circumferential pharyngoesophageal reconstruction using an anterolateral thigh flap and salivary bypass tube. Head Neck. 2007;29:147–154
  22. Yu P, Robb GL. Pharyngoesophageal reconstruction with the anterolateral thigh flap: a clinical and functional outcomes study. Plast Reconstr Surg. 2005;116:1845–1855
  23. Li KK, Salibian AH, Allison GR, et al. Pharyngoesophageal reconstruction with the ulnar forearm flap. Arch Otolaryngol Head Neck Surg. 1998;124:1146–1151
  24. Schipper J, Ridder GJ, Boedeker CC, et al. Lateral upper arm free flap for primary reconstruction of pharyngeal defects in ablative oncological surgery. Report of six consecutive cases. Ann Otol Rhinol Laryngol. 2003;112:611–616
  25. Baek CH, Kim BS, Son YI, et al. Pharyngoesophageal reconstruction with lateral thigh free flap. Head Neck. 2002;24:975–981
  26. Hayden RE, Deschler DG. Lateral thigh free flap for head and neck reconstruction. Laryngoscope. 1999;109:1490–1494
  27. Amin AA, Bassiouny M, Elsebai H, et al. Fasciocutaneous free flaps for hypopharyngeal reconstruction. J Reconstr Microsurg. 2002;18:1–5
  28. Shangold LM, Urken ML, Lawson W. Jejunal transplantation for pharyngoesophageal reconstruction. Otolaryngol Clin North Am. 1991;24:1321–1342
  29. Anthony JP, Singer MI, Deschler DG, et al. Long-term functional results after pharyngoesophageal reconstruction with the radial forearm free flap. Am J Surg. 1994;168:441–445
  30. Sarukawa S, Asato H, Okazaki M, et al. Clinical evaluation and morbidity of 201 free jejunal transfers for oesophagopharyngeal reconstruction during the 20 years 1984-2003. Scand J Plast Reconstr Surg Hand Surg. 2006;40:148–152
  31. Lewin JS, Barringer DA, May AH, et al. Functional outcomes after circumferential pharyngoesophageal reconstruction. Laryngoscope. 2005;115:1266–1271
  32. Okazaki M, Asato H, Sarukawa S, et al. A revised method for pharyngoesophageal reconstruction using free jejunal transfer. Ann Plast Surg. 2005;55:643–647
  33. Benazzo M, Occhini A, Rossi V, et al. Jejunum free flap in hypopharynx reconstruction: case series. BMC Cancer. 2002;2:13
  34. Uchiyama K, Kimata Y, Ebihara S, et al. Evaluating the donor site after harvest of free jejunum grafts. Head Neck. 2002;24:451–455
  35. Chang DW, Hussussian C, Lewin JS, et al. Analysis of pharyngocutaneous fistula following free jejunal transfer for total laryngopharyngectomy. Plast Reconstr Surg. 2002;109:1522–1527
  36. Oniscu GC, Walker WS, Sanderson R. Functional results following pharyngolaryngooesophagectomy with free jejunal graft reconstruction. Eur J Cardiothorac Surg. 2001;19:406–410
  37. Julieron M, Germain MA, Schwaab G, et al. Reconstruction with free jejunal graft after total circular pharyngolaryngectomy. 73 cases, Ann Otolaryngol Chir Cervicofac. 1996;113:269–275
  38. Jones AS, Roland NJ, Husband D, et al. Free revascularized jejunal loop repair following total pharyngolaryngectomy for carcinoma of the hypopharynx: report of 90 patients. Br J Surg. 1996;83:1279–1283
  39. Theile DR, Robinson DW, Theile DE, et al. Free jejunal interposition reconstruction after pharyngolaryngectomy: 201 consecutive cases. Head Neck. 1995;17:83–88
  40. Reece GP, Schusterman MA, Miller MJ, et al. Morbidity and functional outcome of free jejunal transfer reconstruction for circumferential defects of the pharynx and cervical esophagus. Plast Reconstr Surg. 1995;96:1307–1316
  41. Righini CA, Bettega G, Lequeux T, et al. Use of tubed gastro-omental free flap for hypopharynx and cervical esophagus reconstruction after total laryngo-pharyngectomy. Eur Arch Otorhinolaryngol. 2005;262:362–367
  42. Genden EM, Kaufman MR, Katz B, et al. Tubed gastro-omental free flap for pharyngoesophageal reconstruction. Arch Otolaryngol Head Neck Surg. 2001;127:847–853
  43. Guedon CE, Marmuse JP, Gehanno P, et al. Use of gastro-omental2 free flaps in major neck defects. Am J Surg. 1994;168:491–493
  44. Seidenberg B, Rosenak SS, Hurwitt ES, et al. Immediate reconstruction of the cervical esophagus by a revascularized isolated jejunal segment. Ann Surg. 1959;149:162–171
  45. Huguier M, Gordin F, Maillard JN, et al. Results of 117 esophageal replacements. Surg Gynecol Obstet. 1970;130:1054–1058
  46. Flynn MB, Acland RD. Free intestinal autografts for reconstruction following pharyngolaryngoesophagectomy. Surg Gynecol Obstet. 1979;149:858–862
  47. Ohjimi H, Taniguchi Y, Kawano K, et al. A comparison of thinning and conventional free-flap transfers to the lower extremity. Plast Reconstr Surg. 2000;105:558–566
  48. Yu P, Lewin JS, Reece GP, et al. Comparison of clinical and functional outcomes and hospital costs following pharyngoesophageal reconstruction with the anterolateral thigh free flap versus the jejunal flap. Plast Reconstr Surg. 2006;117:968–974
  49. Makitie AA, Irish J, Gullane PJ. Pharyngocutaneous fistula. Curr Opin Otolaryngol Head Neck Surg. 2003;11:78–84
  50. Robb GL, Lewin JS, Deschler DG, et al. Speech and swallowing outcomes in reconstructions of the pharynx and cervical esophagus. Head Neck. 2003;25:232–244
  51. Benazzo M, Bertino G, Lanza L, et al. Voice restoration after circumferential pharyngolaryngectomy with free jejunum repair. Eur Arch Otorhinolaryngol. 2001;258:173–176
  52. Ward EC, Bishop B, Frisby J, et al. Swallowing outcomes following laryngectomy and pharyngolaryngectomy. Arch Otolaryngol Head Neck Surg. 2002;128:181–186
  53. Julieron M, Germain MA, Schwaab G, et al. Reconstruction with free jejunal autograft after circumferential pharyngolaryngectomy: eighty-three cases. Ann Otol Rhinol Laryngol. 1998;107:581–587

PII: S1748-6815(07)00489-5

doi: 10.1016/j.bjps.2007.09.030

Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 61, Issue 10 , Pages 1148-1156 , October 2008